Medicare Program; End-Stage Renal Disease (ESRD) Payment Exception Requests and Organ Procurement Costs
medicare · Centers for Medicare and Medicaid Services · Rule · Published 1997-08-15 · Effective 1997-09-15 · 62 FR 43657
Document
Document number
97-21444
Federal Register citation
62 FR 43657
CFR reference
42 CFR 412
Type
Rule
Action
Final rule.
Category
medicare
Sub-agency
Centers for Medicare and Medicaid Services
Publication date
1997-08-15
Effective date
1997-09-15
HHS docket
BPD-763-F
Abstract
These final regulations specify the criteria HCFA uses to determine if a facility that furnishes dialysis services to Medicare patients with end-stage renal disease (ESRD) qualifies for a higher payment under an exception to its prospectively determined payment rate and the procedures HCFA uses to evaluate ESRD payment exception requests. These regulations also revise the way HCFA computes acquisition costs for organs that are transplanted into Medicare beneficiaries.