ESRD Payment Changes for 2009
December 15th, 2008
End stage renal disease (ESRD) facilities can expect a 1 percent increase to the ESRD composition payment rate and a reduction in the drug add-on adjustment from 15.5 percent to 15.2 percent as a result of the Medicare Improvements for Patients and Providers Act (MIPPA) of 2008.
As mandated by MIPPA, the resulting base rate of $133.81 and per treatment drug add-on amount of $20.33 applies to both hospital-based dialysis facilities and independent dialysis facilities.
Other changes include an update to the wage index adjustments to reflect the current wage data; and a reduction in the wage index floor from 0.7500 to 0.7000 which after applying a budget neutrality of 1.056689 results in a wage index floor of 0.7397.
These changes go into effect Jan. 1, 2009.
For more details, read Transmittal 98 and Transmittal 1648 on CMS’s Web site.
Related posts:
- Hospitals Have 2009 IPPS Final Rule
- Telehealth Services See Payment Increase in 2009
- OIG Report Identifies Dialysis Facility Billing Mistakes
- CMS Proposes Single Payment for ESRD Services
- CMS Extends ESRD PPS Proposed Rule Comment Period