Volume Decrease Adjustment Services
The Centers for Medicare & Medicaid Services (CMS) Volume Decrease Adjustment (VDA) is a financial mechanism designed to support hospitals, particularly small and rural facilities, when they experience a significant decrease in patient volume. If a hospital sees a substantial reduction in inpatient admissions due to circumstances beyond its control, the VDA provides additional payments to offset the financial loss from reduced Medicare reimbursements. The VDA is designed to help hospitals remain operational and provide services even when patient volumes unexpectedly drop.
Your hospital may be able to leverage additional reimbursement opportunities—potentially millions of dollars—to cover fixed and semi-fixed costs through VDA.
However, qualifying for a VDA is a complex process that brings significant documentation burdens. Applications submitted without proper information, or a convincing argument could be denied—and with no appeals process available, your hospital could miss out on the additional reimbursement.
Secure VDA cost savings for your hospital with guidance from our professionals helping to assess your eligibility, gather your documentation, and strategically develop summaries that will resonate with Medicare Administrative Contractors (MAC).








