Federal (United States) · Regulations
Subpart H — Payment for End-Stage Renal Disease (ESRD) Services
31 sections
31 sections
- 42 C.F.R. § 413.170Scope.
- 42 C.F.R. § 413.171Definitions.
- 42 C.F.R. § 413.172Principles of prospective payment.
- 42 C.F.R. § 413.174Prospective rates for hospital-based and independent ESRD facilities.
- 42 C.F.R. § 413.176Amount of payments.
- 42 C.F.R. § 413.177Quality incentive program payment.
- 42 C.F.R. § 413.178ESRD quality incentive program.
- 42 C.F.R. § 413.180Procedures for requesting exceptions to payment rates.
- 42 C.F.R. § 413.182Criteria for approval of exception requests.
- 42 C.F.R. § 413.184Payment exception: Pediatric patient mix.
- 42 C.F.R. § 413.186Payment exception: Self-dialysis training costs in pediatric facilities.
- 42 C.F.R. § 413.194Appeals.
- 42 C.F.R. § 413.195Limitation on Review.
- 42 C.F.R. § 413.196Notification of changes in rate-setting methodologies and payment rates.
- 42 C.F.R. § 413.198Recordkeeping and cost reporting requirements for outpatient maintenance dialysis.
- 42 C.F.R. § 413.202Organ procurement organization (OPO) cost for kidneys sent to foreign countries or transplanted in patients other than Medicare beneficiaries.
- 42 C.F.R. § 413.203Transplant center costs for organs sent to foreign countries or transplanted in patients other than Medicare beneficiaries.
- 42 C.F.R. § 413.210Conditions for payment under the end-stage renal disease (ESRD) prospective payment system.
- 42 C.F.R. § 413.215Basis of payment.
- 42 C.F.R. § 413.217Items and services included in the ESRD prospective payment system.
- 42 C.F.R. § 413.220Methodology for calculating the per-treatment base rate under the ESRD prospective payment system effective January 1, 2011.
- 42 C.F.R. § 413.230Determining the per treatment payment amount.
- 42 C.F.R. § 413.231Adjustment for wages.
- 42 C.F.R. § 413.232Low-volume adjustment.
- 42 C.F.R. § 413.233Additional facility-level adjustments.
- 42 C.F.R. § 413.234Drug designation process.
- 42 C.F.R. § 413.235Patient-level adjustments.
- 42 C.F.R. § 413.236Transitional add-on payment adjustment for new and innovative equipment and supplies.
- 42 C.F.R. § 413.237Outliers.
- 42 C.F.R. § 413.239Transition period.
- 42 C.F.R. § 413.241Pharmacy arrangements.