Steve SpragueSteve Sprague
Director, Volume Decrease Adjustment
810.750.6822 Ext. 179


There are many contributing factors that lead to a decrease in your hospital’s inpatient volume, many of which may be out of your control. Sole Community Hospitals (SCH) and Medicare Dependent Hospitals (MDH) who experience a 5% or greater decrease in discharges and a loss on Medicare inpatient services may be eligible for a lump-sum payment from Medicare known as Volume Decrease Adjustment .

Our team’s decades of extensive knowledge and experience can help hospitals determine if they are eligible for these payments, assist in securing this additional revenue and assist with the appeals process if needed. We have a record of success with Medicare Audit Contractors nationwide, including successful outcomes at the Provider Reimbursement Review Board (PRRB) on volume decrease payment adjustments that have been upheld by the Centers for Medicare and Medicaid Services (CMS). We take pride in offering clients the highest level of expertise in assessing cost reporting structure with potential impacts on all payors, to ensure 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