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 2013_register executive 2013-11-30 article Part II Rules and Regulations D09002ee1c7fab779 D09002ee1c7fab842 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 rule updates and makes revisions to the End-Stage Renal Disease (ESRD) prospective payment system (PPS) for calendar year (CY) 2014. This rule also sets forth requirements for the ESRD quality incentive program (QIP), including for payment year (PY) 2016 and beyond. In addition, this rule clarifies the grandfathering provision related to the 3-year minimum lifetime requirement (MLR) for Durable Medical Equipment (DME), and provides clarification of the definition of routinely purchased DME. This rule also implements budget-neutral fee schedules for splints and casts, and intraocular lenses (IOLs) inserted in a physician's office. Finally, this rule makes a few technical amendments and corrections to existing regulations related to payment for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) items and services. 78 FR 72156 https://www.govinfo.gov/app/details/FR-2013-12-02/2013-28451 2013-28451 fr02de13-33 RIN 0938-AR55 4120-01-P CMS-1526-F https://www.govinfo.gov/app/details/FR-2013-12-02/2013-28451 https://www.govinfo.gov/content/pkg/FR-2013-12-02/html/2013-28451.htm https://www.govinfo.gov/content/pkg/FR-2013-12-02/pdf/2013-28451.pdf Health Facilities Kidney Diseases Medicare Reporting and Recordkeeping Requirements Administrative Practice and Procedure Health Professions 98 p. 72156 72253 78 FR 72156 Title 42 Part 413 42 CFR Part 413 Title 42 Part 414 42 CFR Part 414 RIN 0938-AR55 Medicare Program; End-Stage Renal Disease Prospective Payment System, Quality Incentive Program, and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies; Federal Register Vol. 78, Issue RULE 2013-28451 II DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 2014-01-01 CMS-1526-F 4120-01-P 2013-28451 Final rule.

This rule updates and makes revisions to the End-Stage Renal Disease (ESRD) prospective payment system (PPS) for calendar year (CY) 2014. This rule also sets forth requirements for the ESRD quality incentive program (QIP), including for payment year (PY) 2016 and beyond. In addition, this rule clarifies the grandfathering provision related to the 3-year minimum lifetime requirement (MLR) for Durable Medical Equipment (DME), and provides clarification of the definition of routinely purchased DME. This rule also implements budget-neutral fee schedules for splints and casts, and intraocular lenses (IOLs) inserted in a physician's office. Finally, this rule makes a few technical amendments and corrections to existing regulations related to payment for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) items and services.

Effective Date: These regulations are effective on January 1, 2014, except for amendments to Sec. Sec. 414.100, 414.102, 414.106, 414.108, 414.200, and 414.226, which are effective on April 1, 2014. Michelle Cruse, (410) 786-7540, for issues related to the ESRD PPS. Health Facilities Kidney Diseases Medicare Reporting and Recordkeeping Requirements Administrative Practice and Procedure Health Professions Medicare Programs: End-Stage Renal Disease Prospective Payment System, Quality Incentive Program, and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies , dialysisreports.org http://www.ahrq.gov/workingforquality/nqs/nqs2012annlrpt.pdf http://www.bls.gov/mfp http://www.cdc.gov/dialysis/prevention-tools/core-interventions.html http://www.cdc.gov/nhsn/dialysis/enroll.html http://www.cdc.gov/nhsn/dialysis/index.html http://www.cdc.gov/nhsn/Training/dialysis/index.html 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.gov/Medicare/Coding/HCPCSReleaseCodeSets/Alpha-Numeric-HCPCS.html http://www.cms.gov/Medicare/Coverage/DeterminationProcess/index.html http://www.cms.gov/Medicare/End-Stage-Renal-Disease/CPMProject/index.html http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/index.html?redirect=/AcuteInpatientPPS/ http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ESRDpayment/Downloads/CMS-1526-P-Addendum-C.pdf http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ESRDpayment/End-Stage-Renal-Disease-ESRD-Payment-Regulations-and-Notices.html http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ESRDpayment/Outlier_Services.html http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ESRDpayment/Spotlight.html http://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/GuidanceforLawsAndRegulations/Dialysis.html http://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/Downloads/R2255CP.pdf http://www.dialysisreports.org http://www.dialysisreports.org/ESRDMeasures.aspx http://www.dialysisreports.org/pdf/esrd/public-measures/AnemiaManagement-HGB-2016FR.pdf http://www.dialysisreports.org/pdf/esrd/public-measures/AnemiaManagement-Reporting-2016FR.pdf http://www.dialysisreports.org/pdf/esrd/public-measures/ICHCAHPS-2016FR.pdf http://www.dialysisreports.org/pdf/esrd/public-measures/ICHCAHPS-2016NPRM.pdf http://www.dialysisreports.org/pdf/esrd/public-measures/MineralMetabolism-Hypercalcemia-2016FR.pdf http://www.dialysisreports.org/pdf/esrd/public-measures/MineralMetabolism-Reporting-2016FR.pdf http://www.dialysisreports.org/pdf/esrd/public-measures/NHSNBloodstreamInfection-2016FR.pdf http://www.fda.gov/Drugs/DrugSafety/ucm259639.htm http://www.gpo.gov/fdsys/ http://www.healthcare.gov/center/reports/quality03212011a.html http://www.hhs.gov/ash/initiatives/hai/esrd.html http://www.hhs.gov/secretary/about/priorities/priorities.html http://www.medicare.gov/dialysisfacilitycompare/ http://www.medpac.gov/documents/Mar13_entirereport.pdf http://www.nationalprioritiespartnership.org/ http://www.qualityforum.org/Setting_Priorities/Partnership/MAP_Final_Reports.aspx http://www.sba.gov/content/small-business-size-standards http://www.whitehouse.gov/omb/bulletins_default http://www.whitehouse.gov/omb/circulars_a004_a-4 https://ichcahps.org https://ichcahps.org/Portals/0/ICH_DifferencesBtwAHRQandICHCAHPSSurveySpecs.pdf https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/MeasuresManagementSystemBlueprint.html www.ichcahps.org Vol. 78, no. 231 Office of the Federal Register, National Archives and Records Administration 2013-12-02 continuing daily deposited born digital 552 p. Table of Contents: AE 2.7: GS 4.107: AE 2.106: KF70.A2 https://www.govinfo.gov/app/details/FR-2013-12-02 P0b002ee186686cbc 0097-6326 0042-1219 0364-1406 769-004-00000-9 000582072 f:fr02de13 https://www.govinfo.gov/app/details/FR-2013-12-02 https://www.govinfo.gov/content/pkg/FR-2013-12-02/pdf/FR-2013-12-02.pdf https://www.govinfo.gov/content/pkg/FR-2013-12-02/xml/FR-2013-12-02.xml fdlp 71987 72532 DGPO 2013-11-30 2024-06-03 FR-2013-12-02 machine generated eng FR FR-2013-12-02 78 231