United States Government Publishing Office publisher pbl distributor dst United States National Archives and Records Administration Office of the Federal Register author aut Government Organization text government publication eng FR Regulatory Information 2011_register executive 2011-11-10 article Part II Rules and Regulations D09002ee1c7ff0eac D09002ee1c7ff0f91 United States Department of Health and Human Services originator org United States Government Agency or Subagency United States Centers for Medicare & Medicaid Services originator org United States Government Agency or Subagency This final rule updates and makes certain revisions to the End-Stage Renal Disease (ESRD) prospective payment system (PPS) for calendar year (CY) 2012. We are also finalizing the interim final rule with comment period published on April 6, 2011, regarding the transition budget-neutrality adjustment under the ESRD PPS,. This final rule also sets forth requirements for the ESRD quality incentive program (QIP) for payment years (PYs) 2013 and 2014. In addition, this final rule revises the ambulance fee schedule regulations to conform to statutory changes. This final rule also revises the definition of durable medical equipment (DME) by adding a 3-year minimum lifetime requirement (MLR) that must be met by an item or device in order to be considered durable for the purpose of classifying the item under the Medicare benefit category for DME. Finally, this final rule implements certain provisions of section 154 of the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) related to the durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) Competitive Acquisition Program and responds to comments received on an interim final rule published January 16, 2009, that implemented these provisions of MIPPA effective April 18, 2009. (See the Table of Contents for a listing of the specific issues addressed in this final rule.) 76 FR 70228 https://www.govinfo.gov/app/details/FR-2011-11-10/2011-28606 2011-28606 fr10no11-15 RIN 0938-AQ27 4120-01-P CMS-1577-F https://www.govinfo.gov/app/details/FR-2011-11-10/2011-28606 https://www.govinfo.gov/content/pkg/FR-2011-11-10/html/2011-28606.htm https://www.govinfo.gov/content/pkg/FR-2011-11-10/pdf/2011-28606.pdf Health Facilities Kidney Diseases Medicare Reporting and Recordkeeping Requirements Proposed Rule to Revise the Definition of Durable Medical Equipment (Dme) to Incorporate a Minimum Lifetime Standard of 3 Years and Further Refine the Meaning of the Term Durable 89 p. 70228 70316 76 FR 70228 Title 42 Part 413 42 CFR Part 413 Title 42 Part 414 42 CFR Part 414 RIN 0938-AQ27 Medicare Program; End-Stage Renal Disease Prospective Payment System and Quality Incentive Program; Ambulance Fee Schedule; Durable Medical Equipment; and Competitive Acquisition of Certain Durable Medical Equipment, Prosthetics, Orthotics and Supplies; Federal Register Vol. 76, Issue RULE 2011-28606 II DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 2012-01-01 2011-04-06 CMS-1577-F 4120-01-P 2011-28606 Final rule.

This final rule updates and makes certain revisions to the End-Stage Renal Disease (ESRD) prospective payment system (PPS) for calendar year (CY) 2012. We are also finalizing the interim final rule with comment period published on April 6, 2011, regarding the transition budget-neutrality adjustment under the ESRD PPS,. This final rule also sets forth requirements for the ESRD quality incentive program (QIP) for payment years (PYs) 2013 and 2014. In addition, this final rule revises the ambulance fee schedule regulations to conform to statutory changes. This final rule also revises the definition of durable medical equipment (DME) by adding a 3-year minimum lifetime requirement (MLR) that must be met by an item or device in order to be considered durable for the purpose of classifying the item under the Medicare benefit category for DME. Finally, this final rule implements certain provisions of section 154 of the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) related to the durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) Competitive Acquisition Program and responds to comments received on an interim final rule published January 16, 2009, that implemented these provisions of MIPPA effective April 18, 2009. (See the Table of Contents for a listing of the specific issues addressed in this final rule.)

Effective dates: These regulations are effective on January 1, 2012. Also, effective January 1, 2012, we are finalizing the interim final rule with comment ("Medicare Programs: Changes to the End-Stage Renal Disease Prospective Payment System Transition Budget-Neutrality Adjustment") published on April 6, 2011 (76 FR 18930). Additionally, effective January 12, 2012 the interim rule amending 42 CFR Part 414, published on January 16, 2009 (74 FR 2873), is confirmed as final. Terri Deutsch, (410) 786-4533, for issues related to ESRD. Health Facilities Kidney Diseases Medicare Reporting and Recordkeeping Requirements Proposed Rule to Revise the Definition of Durable Medical Equipment (Dme) to Incorporate a Minimum Lifetime Standard of 3 Years and Further Refine the Meaning of the Term Durable Medicare Programs: End-Stage Renal Disease Prospective Payment System and Quality Incentive Program; Ambulance Fee Schedule; Durable Medical Equipment; and Competitive Acquisition of Certain Durable Medical Equipment, Prosthetics, Orthotics and Supplies , http://resna.org/ http://sba.gov/idc/groups/public/documents/sba_homepage/serv_sstd_tablepdf.pdf http://www.ahrq.gov/clinic/ta/negpresswtd/npwtd01.htm http://www.bea.gov/national/pdf/NIPAhandbookch5.pdf http://www.bls.gov/mfp http://www.bls.gov/mfp/mprtech.pdf http://www.bls.gov/ppi/ppiwholesale.htm http://www.cms.gov/AmbulanceFeeSchedule/02_afspuf.asp http://www.cms.gov/DeterminationProcess/Downloads/FR09262003.pdf http://www.cms.gov/ESRDPayment/PAY/list.asp http://www.cms.gov/MedHCPCSGenInfo/08_HCPCSPublicMeetings.asp#TopOfPage http://www.cms.gov/MedHCPCSGenInfo/Downloads/2013_HCPCS_Application.pdf http://www.cms.hhs.gov/AcuteInpatientPPS/WIFN/list.asp http://www.cms.hhs.gov/DialysisFacilityCompare/ http://www.dialysisreports.org/ http://www.dialysisreports.org/ESRDMeasures.aspx http://www.dialysisreports.org/pdf/ http://www.dialysisreports.org/pdf/esrd/public-measures/ http://www.dialysisreports.org/pdf/esrd/public-measures/AnemiaManagement-HGB12-2013-2014-FR.pdf http://www.dialysisreports.org/pdf/esrd/public-measures/DialysisAdequacy-URR65-2013-2014-FR.pdf http://www.dialysisreports.org/pdf/esrd/public-measures/UpdatedBaseline-2014-FR.pdf http://www.dialysisreports.org/pdf/esrd/public/Guide_to_the_PY_2012_ESRD_QIP_PSR.pdf http://www.dmecompetitivebid.com http://www.dmecompetitivebidcom http://www.fda.gov/Drugs/DrugSafety/ucm259639.htm http://www.fistulafirst.org http://www.fistulafirst.org/ http://www.fistulafirst.org/AboutAVFistulaFirst/History.aspx http://www.kidney.org/professionals/ http://www.kidney.org/professionals/kdoqi/guideline_uphd_pd_va/va_guide2.htm http://www.kidney.org/professionals/kdoqi/pdf/12-50-0210_JAG_DCP_Guidelines-VA_Oct06_SectionC_ofC.pdf http://www.palmettogba.com/nsc http://www.qualityforum.org/Projects/e-g/End_Stage_Renal_Disease_2010/End_Stage_Renal_Disease_2010.aspx http://www.qualityforum.org/WorkArea/ http://www.whitehouse.gov/omb/bulletins/b03-04.html http://www.whitehouse.gov/omb/bulletins/index.html http://www.whitehouse.gov/omb/circulars_a004_a-4 https://www.cahps.ahrq.gov/CAHPSkit/files/53_Fielding_the_ICH_Survey.pdf https://www.cahps.ahrq.gov/content/products/ICH/PROD_ICH_Intro.asp?p=1022&s=222 https://www.cms.gov/MedicareProgramRatesStats/04_MarketBasketData.asp#TopOfPage https://www.dmepdac.com/resources/articles/2006/08_14_06.pdf Vol. 76, no. 218 Office of the Federal Register, National Archives and Records Administration 2011-11-10 continuing daily deposited born digital 292 p. Table of Contents: AE 2.7: GS 4.107: AE 2.106: KF70.A2 https://www.govinfo.gov/app/details/FR-2011-11-10 P0b002ee1810172fe 0097-6326 0042-1219 0364-1406 769-004-00000-9 000582072 f:fr10no11 https://www.govinfo.gov/app/details/FR-2011-11-10 https://www.govinfo.gov/content/pkg/FR-2011-11-10/pdf/FR-2011-11-10.pdf https://www.govinfo.gov/content/pkg/FR-2011-11-10/xml/FR-2011-11-10.xml fdlp 70037 70319 DGPO 2011-11-10 2024-06-03 FR-2011-11-10 machine generated eng FR FR-2011-11-10 76 218