Medicare Claims Processing Manual (Pub. 100-04), Ch. 8 § 50
Dialysis Bill Processing Procedures
50 - Dialysis Bill Processing Procedures
(Rev. 12517; Issued:02-22-24; Effective: 03-25-24; Implementation: 03-25-24)
General instructions for completing the claim are in Chapter 25. The following
instructions apply to facility reporting of ESRD services and to A/B MAC (A) processing
of in-facility dialysis claims.
The shared system checks the Common Working File (CWF) to determine if there is
Employer Group Health Plan (EGHP) insurance. Where the beneficiary is covered under
the EGHP insurance, see the Medicare Secondary Payer Manual.