Department of Health and Human Services, Centers for Medicare & Medicaid Services: Medicare Program; End-Stage Renal Disease Prospective Payment System
GAO-10-1016R, Aug 24, 2010
GAO reviewed the Department of Health and Human Services, Centers for Medicare & Medicaid Services' (CMS) new rule on Medicare Program's End-Stage Renal Disease Prospective Payment System. GAO found that (1) the final rule implements a case-mix adjusted bundled prospective payment system for Medicare outpatient end-stage renal disease dialysis facilities, in compliance with the Medicare Improvements for Patients and Providers Act of 2008, Pub. L. No. 110-275, 6, 153(b), 122 Stat. 2553. This rule also replaces the current basic case-mix adjusted composite payment system and the methodologies for the reimbursement of separately billable outpatient end-stage renal disease services; and (2) CMS complied with applicable requirements in promulgating the rule.