Medicare Program; End-Stage Renal Disease Prospective Payment System
medicare · Centers for Medicare and Medicaid Services · Rule · Published 2010-08-12 · Effective 2011-01-01 · 75 FR 49030
Document
Document number
2010-18466
Federal Register citation
75 FR 49030
CFR reference
42 CFR 410
Type
Rule
Action
Final rule.
Category
medicare
Sub-agency
Centers for Medicare and Medicaid Services
Publication date
2010-08-12
Effective date
2011-01-01
HHS docket
CMS-1418-F
Abstract
This final rule implements a case-mix adjusted bundled prospective payment system (PPS) for Medicare outpatient end-stage renal disease (ESRD) dialysis facilities beginning January 1, 2011 (ESRD PPS), in compliance with the statutory requirement of the Medicare Improvements for Patients and Providers Act (MIPPA), enacted July 15, 2008. This ESRD PPS also replaces the current basic case-mix adjusted composite payment system and the methodologies for the reimbursement of separately billable outpatient ESRD services.