Low Volume Adjustment

As a Sole Community Hospital or a Medicare Dependent Hospital, your facility may be eligible for a Low Volume Adjustment for Medicare PPS. This adjustment was designed to help ensure fair payments to providers by covering the costs of an efficient provider and adjusting for factors which a provider has no control.

Based on Federal Medicare regulations, your facility must meet the qualifying criteria, including a decrease in discharges greater than 5% due to an unusual situation or occurrence externally. This may consist of strikes, floods, inability to recruit staff, building reconstruction, severe weather conditions, or economic recessions.

The Rybar Group specializes in complex pressures and regulations facing providers. Our expertise includes innovative solutions to ensure financial viability by working on a value added, contingency basis, only being paid when you do. We offer our clients:

Successful experience in obtaining payment adjustments for over 20 intermediary negotiations
95% collectability rate on amounts identified
Higher reimbursement amounts by optimizing cost report filings
Experience with numerous auditors nationwide
Knowledge with current Medicare Federal regulations

The Rybar Group consultants are available to provide you with a FREE assessment of your facility's qualification. By reviewing your cost reports and a copy of your facility’s FTE by Cost Center, we will work to identify your potential reimbursement.

Special payment provisions are available for Sole Community and Medicare Dependant providers that meet certain qualifications. The Rybar Group has successfully completed multiple LVA projects for clients nationwide, working on an hourly or a value added basis, only being paid when you are.

ARTICLES

SCH/MDH Low Volume Adjustment Payment