--- title: Insights by Engage description: Learn about news, happenings and important healthcare related information. --- [![Engage Health Solutions Logo](https://insights.engagehealthsolutions.com/hs-fs/hubfs/engage-people-logo-1.jpg?width=500&height=166&name=engage-people-logo-1.jpg "Engage Health Solutions Logo")](https://engagehealthsolutions.com/) Open main menu Close main menu - [Who We Help](https://engagehealthsolutions.com/) - [Health Systems](https://engagehealthsolutions.com/revenue-integrity) - [Health Insurers](https://engagehealthsolutions.com/payment-integrity) - [DME Suppliers](https://engagehealthsolutions.com/recovery-audit) - [About](https://engagehealthsolutions.com/about) Open the submenu - [Insights & News](https://insights.engagehealthsolutions.com/insights) - [Contact Us](https://engagehealthsolutions.com/contact) # Insights by Engage Select Category CMS Medicare & Medicaid Payment Accuracy Futureproof Claims Program Integrity Engage Health Happenings Recovery Audit OIG / DOJ ![Program Integrity & Voluntary Refunds](https://insights.engagehealthsolutions.com/hubfs/reimbursement.png) [Payment Accuracy,](https://insights.engagehealthsolutions.com/insights/tag/payment-accuracy) [CMS Medicare & Medicaid,](https://insights.engagehealthsolutions.com/insights/tag/cms-medicare-medicaid) [Futureproof Claims,](https://insights.engagehealthsolutions.com/insights/tag/futureproof-claims) [Program Integrity](https://insights.engagehealthsolutions.com/insights/tag/program-integrity) ### [CMS Voluntary Refunds -Concerns for Providers](https://insights.engagehealthsolutions.com/insights/cms-program-integrity-manual-program-integrity-voluntary-refunds) Medicare expects providers to exercise care when billing and accepting payment.  Medicare also expects that providers will promptly bring incorrect payments to the Medicare Administrative Contractor’s (MAC) attention. [William OMalley](https://insights.engagehealthsolutions.com/insights/author/william-omalley) [Read More](https://insights.engagehealthsolutions.com/insights/cms-program-integrity-manual-program-integrity-voluntary-refunds) ![Provider Relief Fund Payments](https://insights.engagehealthsolutions.com/hubfs/finance.png) [Payment Accuracy,](https://insights.engagehealthsolutions.com/insights/tag/payment-accuracy) [CMS Medicare & Medicaid,](https://insights.engagehealthsolutions.com/insights/tag/cms-medicare-medicaid) [Futureproof Claims,](https://insights.engagehealthsolutions.com/insights/tag/futureproof-claims) [Program Integrity](https://insights.engagehealthsolutions.com/insights/tag/program-integrity) ### [One More Audit - $10,000 or More in Provider Relief Fund Payments](https://insights.engagehealthsolutions.com/insights/one-more-audit-10000-or-more-in-provider-relief-fund-payments) Earlier this week, the U.S. Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA), announced the distribution of approximately $9 billion in Provider Relief Fund (PRF) Phase 4 payments, from a pool of $17 billion, to health care providers who have experienced revenue losses and expenses related to the COVID-19 pandemic. ([Provider Relief Fund Payments](https://www.hhs.gov/about/news/2021/12/14/hhs-releasing-9-billion-in-prf-payments-to-support-providers-affected-by-covid-19.html)) Phase 4 funding is being distributed based on expenses and decreased revenues from July 1, 2020, to March 31, 2021. The average payment for small providers is $58,000, for medium providers is $289,000, and for large providers is $1.7 million. HRSA is reimbursing a higher percentage of losses and expenses for smaller providers, who typically care for vulnerable populations and historically operate on smaller financial margins. [Steven A Greenspan JD LLM](https://insights.engagehealthsolutions.com/insights/author/steven-a-greenspan-jd-llm) [Read More](https://insights.engagehealthsolutions.com/insights/one-more-audit-10000-or-more-in-provider-relief-fund-payments) ![Auditor Update Part III](https://insights.engagehealthsolutions.com/hubfs/auditor.png) [Payment Accuracy,](https://insights.engagehealthsolutions.com/insights/tag/payment-accuracy) [CMS Medicare & Medicaid,](https://insights.engagehealthsolutions.com/insights/tag/cms-medicare-medicaid) [Futureproof Claims,](https://insights.engagehealthsolutions.com/insights/tag/futureproof-claims) [Program Integrity](https://insights.engagehealthsolutions.com/insights/tag/program-integrity) ### [Auditor Update: Part III](https://insights.engagehealthsolutions.com/insights/rac-monitor-3-0) Published on the RAC Monitor Site on December 14th  2020, written by Steven Greenspan JD, LLM. [Liam OMalley](https://insights.engagehealthsolutions.com/insights/author/liam-omalley) [Read More](https://insights.engagehealthsolutions.com/insights/rac-monitor-3-0) ![](https://insights.engagehealthsolutions.com/hubfs/food%201.png) [Payment Accuracy,](https://insights.engagehealthsolutions.com/insights/tag/payment-accuracy) [CMS Medicare & Medicaid,](https://insights.engagehealthsolutions.com/insights/tag/cms-medicare-medicaid) [Futureproof Claims,](https://insights.engagehealthsolutions.com/insights/tag/futureproof-claims) [Program Integrity](https://insights.engagehealthsolutions.com/insights/tag/program-integrity) ### [Severe Malnutrition Added to Short-Term Acute Care PEPPER](https://insights.engagehealthsolutions.com/insights/severe-malnutrition-added-to-short-term-acute-care-pepper) In the 34th Edition of the User’s Guide for Short-Term Acute Care Program for Evaluating Payment Patterns Electronic Report (PEPPER)([ST PEPPER User’s Guide](https://pepper.cbrpepper.org/Portals/0/Documents/PEPPER/ST/STPEPPERUsersGuide-Edition34-508.pdf)), the Centers for Medicare and Medicaid Services (CMS) has included a new target area – Severe Malnutrition. Also effective with the Q3FY21 release, CMS is discontinuing the Transient Ischemic Attack target area. [Steven A Greenspan JD LLM](https://insights.engagehealthsolutions.com/insights/author/steven-a-greenspan-jd-llm) [Read More](https://insights.engagehealthsolutions.com/insights/severe-malnutrition-added-to-short-term-acute-care-pepper) ![Auditor Update Part II](https://insights.engagehealthsolutions.com/hubfs/auditor%20update%202.png) [Payment Accuracy,](https://insights.engagehealthsolutions.com/insights/tag/payment-accuracy) [CMS Medicare & Medicaid,](https://insights.engagehealthsolutions.com/insights/tag/cms-medicare-medicaid) [Futureproof Claims,](https://insights.engagehealthsolutions.com/insights/tag/futureproof-claims) [Program Integrity](https://insights.engagehealthsolutions.com/insights/tag/program-integrity) ### [Auditor Update: Part II](https://insights.engagehealthsolutions.com/insights/rac-monitor-2) Published on the RAC Monitor Site on December 8th  2020, written by Steven Greenspan JD, LLM. [Liam OMalley](https://insights.engagehealthsolutions.com/insights/author/liam-omalley) [Read More](https://insights.engagehealthsolutions.com/insights/rac-monitor-2) [1](https://insights.engagehealthsolutions.com/insights) [2](https://insights.engagehealthsolutions.com/insights/page/2) [3](https://insights.engagehealthsolutions.com/insights/page/3) [4](https://insights.engagehealthsolutions.com/insights/page/4) ### Engage Health - [About](https://engagehealthsolutions.com/about) - [Contact Us](https://engagehealthsolutions.com/contact) - info@engagehealthsolutions.com - Ph. 877-478-2001 [![](https://engagehealthsolutions.com/wp-content/uploads/2021/03/engage-people-logo-wht.png)](https://engagehealthsolutions.com/) ### Who We Help - [Health Systems](https://engagehealthsolutions.com/revenue-integrity) - [Health Insurers](https://engagehealthsolutions.com/payment-integrity) - [DME Suppliers / O&P Practices](https://engagehealthsolutions.com/recovery-audit) ### News - [Insights by Engage](https://insights.engagehealthsolutions.com/insights) ### Subscribe to Engage Insights [Follow us on LinkedIn](https://www.linkedin.com/company/67266276) [Follow us on Facebook](https://www.facebook.com/engagehealthsolutions) [Follow us on Twitter](https://twitter.com/EngageHealthSo1)