ESRD Claims For Medicare

Quest ion:

If we have vaccines administered during a dialysis treatment visit, would those be separately billed or included on the ESRD claim ?

Answ er:

An ESRD provider can bill for vaccines on the same claim as its monthly dialysis service, Type of Bill 721. Medicare pays for the vaccine and its administration separately.

Here?s a link to a Noridian webpage for ESRD providers: https://med.noridianmedicare.com/web/jfa/provider-types/esrd/esrd-ppsoutpatient-maintenance-billing-guide

Here?s an excerpt from the CMS claims manual for ESRD providers: https://www cms gov/Regulationsand-Guidance/Guidance/Manuals/ Downloads/clm104c08 pdf

CorroHealt h invit es you t o check out t he m lnconnect s page available from t he Cent ers For Medicare and Medicaid (CMS). It 's chock full of new s and inform at ion, t raining opport unit ies, event s and m ore! Each w eek PARA w ill bring you t he lat est new s and links t o available resources. Click each link for t he PDF!

Thursday, June 22, 2023

New s

- CMSRoundup (June 16, 2023)

- Lower Endoscopy: Comparative Billing Report in June

- Medicare Physician Fee Schedule Database: July Update

- Behavioral Health Integration Services: Get Information about the Codes

Claim s, Pricers, & Codes

- ICD-10-CM Diagnosis Codes: FY2024

Event s

- Expanded Home Health Value-Based Purchasing Model: Overview of the Interim Performance Report Webcast ? July 27

MLN Mat t ers® Art icles

- New Waived Tests

- Home Dialysis Payment Adjustment & Performance Payment Adjustment for ESRD Treatment Choices Model: Updated Process ? Revised