Volume Decrease Adjustment
Is your facility receiving optimal reimbursement from Medicare for its inpatient services?
Numerous factors beyond your control can lead to a decline in your hospital’s inpatient volume. For qualifying Sole Community and Medicare-Dependent Hospitals, additional cost-based reimbursement in the form of a lump-sum payment through federal Medicare regulations are available to help offset this loss in revenue.
The Rybar Group can help you identify these whether or not your hospital qualifies for the Volume Payment Adjustment and will work to secure this additional revenue, representing your facility throughout the appeal process.
We have a record of successful experience with Medicare Audit Contractors nationwide. Our expertise includes successful outcomes at the Provider Reimbursement Review Board (PRRB) on volume decrease payment adjustments that have been upheld by CMS.