Changes to the End Stage Renal Disease (ESRD) PRICER to Accept the New Outpatient Provider Specific File Supplemental Wage Index Fields, the Network Reduction Calculation and New Value Code for Time on Machine
This instruction provides the system changes necessary to implement the new supplemental wage index fields in the outpatient provider specific file and the new value code required for reporting minutes of dialysis provided during the billing period. The ESRD Network Reduction calculation is being moved from FISS into the PRICER and requires FISS to mass adjust certain claims to correct the network reduction.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: January 20, 2021
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