Medicare program; end-stage renal disease prospective payment system. Final rule

Fed Regist. 2010 Aug 12;75(155):49029-214.

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.

MeSH terms

  • Ambulatory Care Facilities / economics*
  • Diagnosis-Related Groups
  • Dialysis Solutions / economics
  • Hemodialysis, Home / economics*
  • Humans
  • Kidney Failure, Chronic / economics*
  • Kidney Failure, Chronic / therapy
  • Medicare / economics*
  • Medicare / legislation & jurisprudence
  • Outliers, DRG / economics
  • Prospective Payment System / economics*
  • Prospective Payment System / legislation & jurisprudence
  • Reimbursement Mechanisms / economics
  • Reimbursement Mechanisms / legislation & jurisprudence
  • Renal Dialysis / economics*
  • United States

Substances

  • Dialysis Solutions