Implementation of the Capital Related Assets (CRA) Adjustment for the Transitional Add-on Payment Adjustment for New and Innovative Equipment and Supplies (TPNIES) Under the End Stage Renal Disease Prospective Payment System (ESRD PPS) - Revised

MLN Matters Number: MM12347
Related CR Release Date: July 29, 2022
Related CR Transmittal Number: R11533OTN
Related Change Request (CR) Number: 12347
Effective Date: January 1, 2022
Implementation Date: January 3, 2022

Note: CMS revised the Article due to an updated CR that clarified language to present the policy as described in the regulation and to update the sequence of events in the example calculation. This correction clarifies that the offset adjustment is subtracted from the per treatment amount before the application of the 65% adjustment. The changes are in dark red font on pages 1 and 2. CMS also changed the CR transmittal date, transmittal number and the link to the transmittal. All other information is the same.

CR 12347 tells you about:

  • The AX modifier
  • Relevant revenue codes

Make sure your billing staff knows about these changes.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)12347.


            Last Updated Thu, 11 Aug 2022 14:12:04 +0000