Low Volume Adjustment

As a Sole Community Hospital or a Medicare Dependent Hospital, your facility may be eligible for a Low Volume Adjustment (LVA) This adjustment, based on Federal Medicare regulations, allows for additional medicare reimbursement for facilities that experience a decrease in total discharges greater than 5%, as compared to the previous fiscal year.

The Rybar Group specializes in assisting providers with LVA apppeals. Our LVA service includes examining your current cost report structure and offering suggestions to improve your cost report allocations and to optimize your LVA reimbursement. Our consultants work side by side with cost report preparers, performing this project on a value added, contingency basis, only being paid when you do. We offer our clients:

Successful experience in obtaining payment adjustments for over 40 LVA determinations
95% collectability rate on amounts identified
Experience with numerous auditors nationwide

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.

"The staff at Rybar that came onsite were very professional and efficient. The results were; approval by the Intermediary of 1.5 years of low volume cost recovery totaling 1.5 million dollars! I recommend Rybar highly."

William H. Alsdurf, CFO

Good Shepherd Healthcare System

ARTICLES

SCH/MDH Low Volume Adjustment Payment