Low Volume Hospital Adjustments for FFY 2014

InsightsClient Alert

It has come to our attention Cahaba GBA had a system issue and was not able to reprocess numerous claims to add the low volume hospital adjustment (LVHA) to FY 2014 Medicare discharges. Cahaba reprocessed claims in June and July but discovered claims that had been previously adjusted (e.g., due to the update in uncompensated care payment amounts) could not receive a second adjustment due to a claims processing system limitation. Cahaba is addressing the issue and plans on reprocessing these claims shortly.

Medicare inpatient claims should be monitored to ensure the LVHA has been included in the payment.

If you have any questions, please contact our Albany office at (229) 883-7878 or our Atlanta office at (404) 220-8494.