CMS Updates to Policies and Payment Rates for End-Stage Renal Disease Prospective Payment System (CMS 1651-F)
The final rule went on display at the Office of the Federal Register's Public Inspection Desk (2016-25240- link to a 467-page PDF file) on October 28, 2016, and will be published on November 4, 2016. Fact sheet from CMS.
"For CY 2017, the ESRD PPS base
rate is $231.55."
are not finalizing an equivalency payment for hemodialysis (HD) when more than 3
treatments are furnished in a week, similar to what is applied to peritoneal dialysis
(PD). In response to comments received from stakeholders, we have determined that
the burden placed on providers would be substantial and we are exploring alternate
avenues for collecting these data."
"Based on these proxies, for CY 2017, we have increased the hours
of per-treatment training time provided by a nurse that is accounted for by the home dialysis training add-on to 2.66 hours. We also updated the national hourly wage for
a nurse providing dialysis training for 2017 to $35.94, resulting in a home and self-dialysis
training add-on payment adjustment amount of $95.60."
"Specifically, for PY 2019, we are assigning 15 percent of a facility's total performance
score (TPS) to the Safety Measure Domain, 75 percent of the TPS to the Clinical Measure
Domain and 10 percent to the Reporting Measure Domain."
"For PY 2019, we are continuing the pilot validation study
for validation of CROWNWeb data."
Editor's note: CMS is continuing with a sick-patient model of care. This will ensure low patient employment, virtually no rehabilitation, and stagnant technology.