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Code · BILL · 113th Congress · H.R. 4814 (Introduced in House) — To improve the understanding of, and promote access to treatment for, chronic kidney disease, and for other purposes. · Sec. 301

Sec. 301. Stabilizing Medicare payments for services provided to beneficiaries with stage V chronic kidney disease receiving dialysis services

229 words·~1 min read·/bill/113/hr/4814/ih/section-301

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Section 1881(b)(14) of the Social Security Act (42 U.S.C. 1395rr(b)(14)) is amended— in subparagraph (D), in the matter preceding clause (i), by striking Such system and inserting Subject to subparagraph (J), such system ; and by adding at the end the following new subparagraph: For payment for renal dialysis services furnished on or after January 1, 2015, under the system under this paragraph— the payment adjustment described in clause
(i)of subparagraph
(D)shall not take into account comorbidities; the payment adjustment described in clause
(ii)of such subparagraph shall not be included; the standardization factor described in the final rule published in the Federal Register on November 8, 2012 (77 Fed. Reg. 67470), shall be established using the most currently available data (and not historical data) and adjusted on an annual basis, based on such available data, to account for any change in utilization of drugs and any modification in adjustors applied under this paragraph; and the Secretary shall take into account reasonable costs consistent with paragraph (2)(B) when calculating such payments. Not later than January 1, 2015, the Secretary shall amend the ESRD facility cost report to— include the per treatment network fee (as described in paragraph (7)) as an allowable cost; and eliminate the limitation for reporting medical director fees on such reports in order to take into account the wages of a board-certified nephrologist. .
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  • 77 FR 67470
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Sec. 301
Stabilizing Medicare payments for services provided to beneficiaries with stage V chronic kidney disease receiving dialysis services
U.S.C.§ 1395rr
Fed. Reg.77 FR 67470
Cites 2Cited by 0 across 0 sources
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