Data Extraction
If Applicant's fiscal year does not end in December, the kind of public financial data that would be ideal to use.
What are Quarterly Financial Reports?
Vendor/Contractor charges for "waste disposal" or "garbage bins" as part of their building modification project.
Charge for sterilization of PPE.
What is PPE? (If not sterilizing PPE, sterilization could be for supplies for direct patient care, then S&S – Indirect support of patient care. Hospitals sterilized instruments before Covid.)
The principle that if someone else already paid for something, FEMA shouldn't pay for that thing.
What is "Duplication of Benefits"? (Or avoiding duplication")
We already did an ARM/PRMs, then Applicant points out an error in the financial data we used for our ceilings. (And we agree, there was an error.)
What is: Revise/fix and resubmit the ARM/PRMs?
It's how you construct a partial year ceiling using Applicant’s 2023 annual financial statement.
What is prorate values to partial year (131/365 days).
Spare or disposable parts used in ventilation machines (tubes, filters, etc.)
What is "Supplies and Services - High Likelihood"?
Biohoods
What is PPE? (can be hoods hospital employees wore in early Covid days to treat patients)
The main principle behind why some things are classified "Low Likelihood".
What is: "Health Insurance is unlikely to (directly or indirectly) pay for (any/most of) it."
Applicant has one $5M project to review. The project spans 2021 and 2022. We are currently able to calculate ceilings for 2021 but not for 2022.
What is: "Tell FEMA it is not ready for review." (HSOAC must be able to complete review of at least 1 project in order to proceed with a Standard Method Review.)
The 2 situations when we must ask the Applicant to provide financial data.
What are: 1) When Applicant has at least 1 project larger than $25 million and/or 2) When we can't find appropriate public financial data.
Where you should put an ambiguous, unclear, or undefined item if all other project costs are related to building modifications.
What is, assume it's "Supplies and Services - Low Likelihood" (Group it together with everything else in that same project.)
Manometers
NOT PPE - (often used as negative pressure gauge in rooms): DoB 3 – S&S – Building modification.)
The principle that guides which facilities or locations we include in a financial data extraction.
What is: "The Applicant asked for FEMA PA reimbursements for expenses incurred at that/those location(s)."
Applicant has 2 projects from 2020 and 2021 to review. HSOAC previously delivered "Bulk PRMs" for both projects, stating that both were under ceiling (no reductions recommended). However, since that time, HSOAC found better public financial data and ceilings and it now appears their claims surpassed 2021 ceilings.
No additional review required. FEMA does not want us to reverse our recommendations from previously-delivered PRMs, even if new ceiling information comes to light. (We gave them recommendations based on the best data and methods available AT THAT TIME.)
It's the only scenario where we'd prorate financial data upward (inflate a smaller time period to a longer time period).
What is: When we only have 2023 financial data through 30 April.
Item that FEMA deemed ineligible and removed from project cost.
What is, NO COST CATEGORY - NO LIKELIHOOD (delete it)
Aluminum foil helmet
Not PPE (but it does keep Martian radio waves out of your head)
The principle that guides whether we extract a revenue line item, or exclude it.
What is: "The revenue was paid to the Applicant to pay for patient care." (Note: The INTENTION of the PAYOR is the key, not necessarily how the Applicant intends to use the revenue.)
FEMA asks for a Standard Method Review. However, we find on GM that Applicant already provided calculations and documentation that exactly follows the Standard Method (reached the same conclusions that HSOAC would reach).
What is, "Proceed with Standard Method Review"? (If the Applicant's method precisely follows the Standard Method, then it's not an "Alternate Method".)
It's an example of pension costs that we do not extract for ceiling calculations.
What are "Mark to Market" Pension costs?
Supplies such as barcode scanners, office supplies, computer equipment used to operate a temporary medical facility.
What are Supplies and Services - High Likelihood (Indirect support of patient care - irrelevant that it occurs in a modified facility)
PAPR and CAPR charges.
What is PPE? (Sometimes the LIC misclassifies as direct patient care, but it's S&S - Low)
The principle that guides why a given expense belongs in 1 particular HSOAC cost category (and doesn't belong in any other HSOAC cost category).
What is: "That given expense item was included in the public financial data category that HSOAC used to calculate that category's ceiling."?
FEMA requests Alternate Method Review: Applicant provides a method that closely resembles the Standard Method. The ONLY difference is they propose ceilings for Fiscal Years, not for CY. During screening, it appears they applied the method correctly.
What is, "Proceed with Alternate Method Review."? (If ANY changes to the Standard Method are proposed, then it's not Standard anymore... it's Alternate.)