Home Dialysis Payment Adjustment & Performance Payment Adjustment for ESRD Treatment Choices Model: Updated Process

Related CR Release Date: May 4, 2023
Effective Date: October 1, 2023
Implementation Date: October 2, 2023
MLN Matters Number: MM13180
Related Change Request (CR) Number: CR 13180
Related CR Transmittal Number: R12020DEMO

CR 13180 tells you about:

  • Claim lines on type of bill 072X with condition codes 74 or 76
  • Monthly capitation payment (MCP) claims on claim lines with CPT codes 90957-90962 and 90965-90966

Make sure your billing staff knows about these adjustments.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)13180.

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