Medicare Finalizes Updates to End Stage Renal Disease Prospective Payment System
– Effective January 1, 2025. On November 1, 2024, the Centers for Medicare & Medicaid Services (CMS) issued a final rule updating payment rates and policies under the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) for renal dialysis services for Medicare beneficiaries. This rule includes updates to base payment rates, a modified low volume payment adjustment, new inclusion of oral-only dialysis drugs in bundled payments, and coverage for home dialysis services for beneficiaries with acute kidney injury.
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