Medicare Geographic Reclassification


Medicare reimbursement rates are partially based on Medicare published wage indexes. To ensure reimbursement mirrors a hospitals labor market, hospitals can file a Medicare Geographic Reclassification Application. If the hospital qualifies and the application is approved by the Medicare Geographic Reclassification Review Board, the hospital will be assigned a different Core Based Statistical Area for purposes of the hospital assigned wage index. The overall process is to ensure hospitals reimbursement is reflective of its actual labor costs. Qualifying for geographic relocation can result in millions of dollars in additional Medicare reimbursements.

This course, presented as part of the Healthcare Providers Reimbursement series, will discuss the qualifying criteria for filing a Medicare Geographic Reclassification Application, data required to complete the application, alternative qualification criteria and other nuances to qualifying for geographic relocation to a Core Based Statistical Area. Attendees will also receive sample forms to complete. Applications are due to the Medicare Geographic Review Board on September 1, 2023, with no exceptions.

We recommend hospitals review for qualification in conjunction with publication of the annual Medicare Inpatient Prospective Payment System proposed rule on or approximately 2 weeks before May 1st, 2023. This allows for additional financial planning and helps ensure timely filing of the application when the Inpatient PPS final rule is published on August 1, 2023.


CPE credit


2:00 pm – 3:00 pm 


Learning Objectives

  • Understand how to complete the Medicare Geographic Reclassification Application
  • Learn the multiple geographic reclassification qualifying criteria
  • Understand application forms and completion of such


Vice President, Regulatory & Financial Reporting


In order to be awarded the full credits, you must respond to the three polling questions asked during the program and complete the evaluation.

Participants will earn 1.0 CPE credit

  • Field of Study: Specialized Knowledge
  • Prerequisites: None
  • Who Should Attend: CFOs, Finance Staff, Reimbursement Staff, Revenue Cycle Staff
  • Advanced Preparation: None
  • Program Level: Basic
  • Delivery Method: Group Internet Based

The Learning Institute is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website:

The Learning Institute may cancel or reschedule a live webinar program at its discretion due to unforeseen circumstances. We will use reasonable efforts to notify registrants of the cancellation at least two weeks (10 business days) in advance of the original live webinar program.

If The Learning Institute cancels a live webinar program, refunds of the webinar registration fee will not be given. However, all current registrants at time of cancellation will obtain a credit to be applied to a future live webinar program of their choice.

Complaint Resolution:

For information regarding refunds, program cancellation policies and/or concerns please contact our client support team at 615-371-7979 or

Who Should Attend?

  • CFOs
  • Finance Staff
  • Reimbursement Staff
  • Revenue Cycle Staff