Medicare Claims Processing Manual (Pub. 100-04), Ch. 8 § 10.6
Amount of Payment
10.6 - Amount of Payment
(Rev. 10640, Issued:08-06-21, Effective:09-07-21, Implementation:09-07-21)
Effective for dates of service beginning January 1, 2011, after the beneficiary’s Part B
deductible is met, the A/B MACs (A) pay 80 percent of the ESRD PPS base rate and all
applicable adjustments (or the blended payment amount if the facility chooses to
transition), for each outpatient maintenance dialysis treatment furnished to the ESRD
beneficiary in the ESRD facility or at the beneficiary’s home.