tci Medicare Compliance & Reimbursement - 2003 Issue 22

ESRD: CMS LAUNCHES ESRD DEMO

A new four-year Medicare demonstration program offers end-stage renal disease providers two reimbursement options designed to rationalize payments and promote disease management through the uniquely close relationship ESRD providers have with dialysis patients, Centers for Medicare & Medicaid Services Administrator Tom Scully told reporters at a May 29 briefing. Medicare spends $16 billion on the 350,000 ESRD patients who qualify for benefits regardless of age and who typically come in three times a week for dialysis sessions of up to five hours each. The core payment of about $125 per treatment does not cover their costs of about...

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