CMS Clarifies Position on Outpatient Dialysis for AKI Patients


PHILADELPHIA—The National Renal Administrators Association (NRAA) President Katrina Russell and other kidney care providers participated in a conference call with officials from the Centers for Medicare and Medicaid Services (CMS) to discuss an ongoing issue impacting care for Medicare beneficiaries with acute kidney injury (AKI).

Last month, we reported that representatives from the NRAA, Fresenius, DaVita, and the Renal Physicians Association (RPA) participated in a call with officials from CMS discussing a current CMS policy affecting care for patients with AKI.

The guidance CMS issued this summer found here reflected a change in policy with respect to the treatment of these patients. According to this guidance, ESRD facilities are not able to provide dialysis to outpatient hospital patients for treatment of AKI.

These services can be billed under the Hospital Outpatient Prospective Payment System (OPPS) and dialysis services must be delivered on hospital premises or in locations that qualify as provider-based departments of hospitals.

On this week’s call, CMS invited input from physicians and hospitals on the issue, requesting that incidents be reported or comments submitted to the Medical Directors of their Medicare Administrative Contractors (MAC’s).

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