Medicare program; payment for physician outpatient maintenance dialysis services and other physician services for ESRD patients--HCFA. Final rule.
This final rule reinstates a modified version of the initial method of payment for physician dialysis services and clarifies and modifies some of the principles of the monthly capitation payment method. Under both the initial method and the monthly capitation payment method, we specify that, to be payable, physician services must meet certain requirements that distinguish services furnished to individual patients from services furnished to facilities that benefit the facilities' patients generally. The reinstatement of a modified version of the initial method is necessitated by a court order.
D002204:Capitation Fee; D014487:Centers for Medicare and Medicaid Services, U.S.; D005249:Fees and Charges; D006801:Humans; D007676:Kidney Failure, Chronic / Q000191:economics*; D006278:Medicare / Q000331:legislation & jurisprudence*; D015442:Medicare Assignment / Q000331:legislation & jurisprudence*; D010045:Outpatients; D006435:Renal Dialysis / Q000191:economics*; D014481:United States