Quarterly Update to the End-Stage Renal Disease Prospective Payment System (ESRD PPS)

MLN Matters Number: MM12741
Related CR Release Date: May 4, 2022
Related CR Transmittal Number: R11401CP
Related Change Request (CR) Number: 12741
Effective Date: July 1, 2022
Implementation Date: July 5, 2022

CR 12741 tells you about:

  • Revised list of outlier services to include 27 National Drug Codes (NDCs), effective January 1, 2022
  • Updated mean unit cost for renal dialysis drugs that are oral equivalents to injectable drugs, effective July 1, 2022
  • Revised mean dispensing fee for NDCs qualifying for outlier to $0.57 per NDC per month, effective July 1, 2022

Make sure your billing staff knows about these changes.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)12741.

 

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