Posted by Jason Greis on September 21, 2009 under Articles | 
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The Centers for Medicare and Medicaid Services (CMS) recently proposed its new bundled prospective payment system (PPS) for dialysis services provided in End Stage Renal Disease (ESRD) facilities. Read More...
Posted by Jason Greis on December 8, 2008 under Articles | Be the First to Comment
The Centers for Medicare and Medicaid Services (“CMS”) promulgated the CY 2009 Physician Fee Schedule (“PFS”) on October 30, 2008. The PFS was published in the Federal Register on November 19, 2008. In the PFS, CMS sets forth provisions related to the payment for renal dialysis services furnished by end-stage renal disease (“ESRD”) facilities, including several modifications to the method of reimbursement for such services. The significant modifications in reimbursement for renal dialysis services include: (i) the completion of the four year transition from the previous Metropolitan Statistical Area (“MSA”) wage adjusted composite rate to the core based statistical area (“CBSA”) wage adjusted rate wherein payment will be based one hundred percent (100%) upon the revised geographical adjustments; (ii) the reduction of the wage index floor; (iii) the increase in the composite rate component of the payment system by one percent (1%) pursuant to the Medicare Improvements for Patients and Providers Act of 2008 (“MIPPA”); and (iv) the establishment of a site-neutral composite rate for hospital-based and independent dialysis facility pursuant to MIPPA. Read More...
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