Prospective Payment System of MIPPA
MIPPA Update
Pay for Performance
CMS has announced changes in claims reporting for dialysis adequacy, infection and vascular access – new reporting requirements will go into effect on July 1, 2010.
These changes are being made as mandated by the Medicare Improvement for Patients & Providers Act (MIPPA).
For additional information, download:The MIPPA-Quality Based Payment Program Billing Info is a PowerPoint slide presenting an overview of the changes. The “Billing Rg7 file” contains complete details as provided by the CMS Manual System.
The comment period for the proposed rule on the ESRD Prospective Payment System has concluded. Read The Renal Network comments on the proposed rule (PDF, 104KB)
In July 2008, the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) was approved by Congress and became law.
The proposed rule provides details on the case mix adjusted bundling prospective payment system (PPS) for Medicare outpatient ESRD dialysis facilities, as outlined in the MIPPA legislation approved in July 2008. When finalized, this proposed rule will become the regulations which govern payment for outpatient ESRD treatment.
It is crucial that members of the nephrology community review this rule and comment. The PPS will impact the payment for dialysis services beginning January 1, 2011 and beyond.
OVERVIEW OF RULE:
1. Summary provided by NephrOnline service of Nephrology News & Issues http://www.nephronline.com/features.asp?F_ID=467
2. Overview provided on the CMS Web site:
http://www.cms.hhs.gov/ESRDPayment/
3. For the complete document of the proposed rule Proposed Rule on Bundling of Payments 9/15/2009 [PDF, 547 pages, 1.2M]
4. Open Door Forum End Stage Renal Disease Prospective Payment System (ESRD PPS) Proposed Rule 10/15/2009 [PDF, 41 slides, 308KB]
5. Read The Renal Network comments on the proposed rule. (PDF, 104KB)