The CMS issued a final rule that establishes performance standards for dialysis facilities and provides payment adjustments to individual end-stage renal disease facilities based on how well they meet those standards. In addition to the performance standards, the new rule establishes a scoring methodology and incentive payment structure under the new End-Stage Renal Disease Quality Incentive Program that also provides for public disclosure of individual dialysis facility performance scores. Congress mandated the ESRD QIP in the Medicare Improvements for Patients and Providers Act of 2008, which also required the CMS to implement a new, fully bundled prospective payment system for ESRD facilities to replace the existing methodology that is based on a composite rate plus separately billable items and services. The CMS began paying these facilities under the new methodology as of Jan. 1, and the new quality program will apply to payments on or after Jan. 1, 2012. The final rule will be published in the Federal Register on Jan. 5. and is effective Feb. 4.
Late News: CMS rule sets quality standards for dialysis facilities
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