End Stage Renal Disease (ESRD) Low Volume Adjustment and Establishing Quarterly Updates to the ESRD Prospective Payment System (PPS
The ESRD PPS implemented on January 1, 2011 provides for payment adjustments to low volume facilities. The low volume adjustment is included in the per treatment PPS reimbursement amount that is sent from the PRICER program to the Fiscal Intermediary Shared System (FISS). This instruction allows for receiving the per treatment low volume adjustment payment after any applicable transitional blend is applied in a separate field. The per treatment low volume adjustment amount will be totaled for the claim and sent to the Common Working File (CWF) for future data analysis needs.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: April 22, 2011
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