For FY 2025, a hospital must make a written request for low-volume hospital status that is received by its MAC no later than September 1, 2024, for the applicable low-volume payment …

Per 42 CFR 412.92(e)(2) and 42 CFR 412.108(d), for cost reporting periods starting on or after October 1, 1983, a sole community hospital (SCH) or a Medicare dependent small rural …

The payment adjustment for each period will be determined according to 42 CFR 412.101 (c). Hospitals can choose to submit a single written request for low-volume hospital status for both …

The payment adjustment is intended to help cover the hospital’s fixed and semi-fixed costs for which the hospital cannot control as a result of the decrease in patient volume as well as the …

Beginning on January 1, 2025, and subsequent fiscal years, the low-volume hospital payment adjustment and qualifying criteria revert to the preexisting requirements – more than 25 road …

CMS adopts an outlier threshold for FFY 2025 of $46,152 (proposed at $49,237), an increase of 8% and $3,402 from the FFY 2024 amount ($42,750). CMS projects that the outlier threshold …

CMS finalized its proposal to implement the new Office of Management and Budget (OMB) labor market area delineations for the FY 2025 wage index, which will have an impact on the …

The Centers for Medicare & Medicaid Services (CMS) Aug. 1 issued its hospital inpatient prospective payment system (PPS) and long-term care hospital (LTCH) PPS final rule for …

Sole Community Hospitals (SCH) and Medicare Dependent Hospitals (MDH) that experience a 5% or greater decrease in discharges and incur losses on Medicare inpatient services may …

The Volume Decrease Adjustment (VDA) is a lump sum payment available to Sole Community Hospitals (SCH) or Medicare Dependent Hospitals (MDH) who have experienced more than a …