leadsag
Joined: 31 Oct 2002
Posts: 263
Posted: Fri Oct 31, 2003 12:57 am Post subject: CMS Final rule payment changes
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CMS also is creating a number of new codes to improve the way Medicare reimburses physician care for dialysis patients. Medicare currently pays a monthly composite rate to physicians for medical oversight without regard to the patient?s condition or the number of times the physician sees the patient. The new codes will base payment to physicians for care of patients with end-stage renal disease (ESRD) on the level of their involvement in patient?s treatment. In response to public comments on the proposed rule, CMS substantially revised the payment amounts in this final rule to recognize the greater amount of physician work that nephrologists perform in addition to the face-to-face visits with their patients.<
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>Also in response to public comments, CMS is creating several new codes for the management of home dialysis patients, and separate codes for home dialysis patients who may be hospitalized during the month. These codes will allow physicians to be paid for daily management of a home dialysis patient for the days the patient is not in the hospital.<
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Home Hemo
Joined: 23 Jun 2003
Posts: 22
Posted: Fri Oct 31, 2003 10:40 am Post subject: CMS Final Rule Payment Changes
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Leadsag: Not sure where you found this, but it is surely great news! This takes one issue off my mind. Now if we can just get them to protect retiree health benefits, I can relax for awhile! Please let me know where you found this. Thanks a bunch!!
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JR
Joined: 05 Oct 2003
Posts: 2
Posted: Fri Oct 31, 2003 12:44 pm Post subject: What?
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does this mean, how does it benefit patients?
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ledasag
Joined: 01 Nov 2003
Posts: 1
Posted: Sat Nov 01, 2003 2:22 am Post subject: From CMS website
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www.cms.gov/media/press/r...ounter=889<
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>IT is about half way down the page
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ridgerunner
Joined: 11 Jan 2003
Posts: 101
Posted: Sat Nov 01, 2003 9:53 am Post subject: new rules
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i am a home patient. my nepho. is also my primary care provider. in fact he spends more time taking care of my other medical problems than he does in dialysis. i am glad that the govt. are beginning to understand.
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Lin
Joined: 28 Oct 2002
Posts: 337
Posted: Sun Nov 02, 2003 6:30 am Post subject: How so?
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Ridgerunner, I recently tried to secure my neph. as my primary and was told it was against the rules of both Medicare and Ins.. How were you able to do this? My neph. is listed with my ins. carrier as both a neph. and pcp. but yet he would not do this. Lin.
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Bill Peckham
Joined: 06 Jan 2003
Posts: 65
Posted: Mon Nov 03, 2003 6:54 am Post subject: CMS Payment change
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Leadsag, I'm hearing that the rule change will pay a doc less for following home patients. When I reread the press release I realized that it only says a special billing code will be availabe to bill for home patient services it does not say that it will be equivalent to the four time a month incenter reimbursement rate. I am very concerned about this.
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Home Hemo
Joined: 23 Jun 2003
Posts: 22
Posted: Mon Nov 03, 2003 8:00 am Post subject: rule change text
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