FFY 2023 IPPS Final Rule: Low-Volume Adjustment Eligibility

For FFY 2023 CMS finalized a low-volume hospital must be more than 25 road miles from another subsection (d) hospital and have less than 200 total discharges during the fiscal year. This proposal reflects an “Expiration of Temporary Changes to Low-Volume Hospital Payment Policy” and reverts back to Section 1886(d)(12)(C)(i) of the Act.  Hospitals have until September 1, 2022 to request low volume status for FFY 2023. 

For more information, please contact Scott Besler at (925) 685-9312 or scott.besler@toyonassociates.com.