Volume Decrease Adjustment

Congress enacted special legislation to provide payments to Sole Community Hospitals (SCH) and Medicare Dependent Hospitals (MDH) if, due to circumstances beyond its control, such hospitals experience a decrease of more than five percent in its total number of discharges. These payments are deemed necessary to provide small rural hospitals the means to remain viable for the communities they serve.




Genesa provides the highest level of quantitative and qualitative analyses which ensures your request for VDA payment will be ready to meet the most up-to-date legal interpretations. 

Genesa partners lead the industry in VDA expertise, building upon their legal backgrounds to ensure the best case is presented.  We have successfully submitted dozens of VDAs, while also working with MACs to overturn initial denials.

Genesa works with you to understand circumstantial drivers behind the reduction in discharges.  Our ability to collaborate and ask the right questions with executives, physicians, and staff allows us to present the most well-thought-out legal argument and VDA request.

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