End Stage Renal Disease (ESRD) - JE Part B

End-stage renal disease is the almost complete or complete failure of the kidneys. Individuals will have already received a diagnosis of Chronic Kidney Disease. Individuals with ESRD typically are on dialysis or have had a kidney transplant since those are two ways to manage the disease.

Access the below ESRD related information from this page.

• Ambulance Services
• ESRD Claims Processing - Medical Evidence Report
• Hemodialysis In-Facility or Home Setting
• Monthly Capitation Payment and the Medical Record
• Related Latest Updates Articles

Resources

• CMS Dialysis - Survey & Certification - Guidance to Laws & Regulations
• CMS ESRD and Clinical Laboratories Open Door Forum
• CMS ESRD Center
• CMS ESRD - General Information
• CMS ESRD Network Organizations
• CMS ESRD Payment Regulations and Notices
• CMS ESRD Quality Initiative
• CMS Final Rule: ESRD Conditions
• CMS Internet Only Manual (IOM) Publication 100-02, Medicare Benefit Policy Manual, Chapter 11
• CMS IOM, Publication 100-02, Medicare Benefit Policy Manual, Chapter 15, Section 310
• CMS Change Request (CR) 7064 - ESRD Prospective Payment System (PPS) and Consolidated Billing for Limited Part B Services
• CMS CR 8261 - Revisions to the Medicare Benefit Policy Manual, Chapter 11, ESRD to Reflect the Implementation of the ESRD Prospective Payment System (PPS)