A decline in your hospital’s inpatient volume can be driven by numerous factors, many beyond your control. Sole Community Hospitals (SCH) and Medicare Dependent Hospitals (MDH) that experience a 5% or greater decrease in discharges and incur losses on Medicare inpatient services may qualify for a lump-sum payment from Medicare, known as the Volume Decrease Adjustment (VDA).

With decades of in-depth experience, our team is well-equipped to help hospitals determine eligibility for these payments, secure additional revenue, and navigate the appeals process if necessary. We have a strong track record of success with Medicare Audit Contractors nationwide, including favorable outcomes at the Provider Reimbursement Review Board (PRRB) for VDA cases that have been upheld by the Centers for Medicare and Medicaid Services (CMS).

At RubinBrown, we take pride in delivering the highest level of expertise, assessing cost reporting structures to identify potential impacts on all payors, ensuring your facility receives the maximum reimbursement now and in the future.

Our Volume Decrease Adjustment Services:

• Assisting qualifying hospitals in obtaining additional Medicare VDA payments when there’s a 5% decrease
• Discuss and assist clients with the appeals process with Provider Reimbursement Review Board (PRRB)
• Assess cost reports prior to submission to optimization of reimbursement opportunity