ESRD

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On July 29, the Centers for Medicare & Medicaid Services (CMS) published three proposed rules for Calendar Year (CY) 2020:

  • Medicare Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System Proposed Rule;
  • Proposed Policy, Payment, and Quality Provisions Changes to the Medicare Physician Fee Schedule (MPFS); and
  • End State Renal Disease (ESRD) and Durable Medical Equipment Prosthetics, Orthotics and Supplies (DMEPOS) Proposed Rule.

Public comments to all three proposed rules are due by September 27.

CMS issued two final rules on October 29, 2015 updating the Medicare prospective payment systems (PPS) for end-stage renal disease (ESRD) and home health services, both effective January 1, 2016.

Under the ESRD final rule, Medicare payments to both hospital-based…