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Provider Reimbursement Manual Part 2, Provider Cost Reporting Forms and Instructions, Chapter 42, Form CMS-265-11

This transmittal updates Chapter 42, Independent Renal Dialysis Facility Cost Report, Form CMS-265-11, by revising the existing instructions and electronic cost report (ECR) specifications to include updates from the CY2025 ESRD final rule that expanded payment for acute kidney injury (AKI) in the home setting for beneficiaries with AKI, beginning January 1, 2025.

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Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: January 17, 2025

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.