Home expands reimbursement for doctors
To combat rising health care costs, Centers for Medicare and Medicaid Services is encouraging home dialysis whenever it is clinically appropriate. Reimbursement now includes earlier Kidney Disease Education, a home training benefit and Day One billing. The Monthly Capitated Payment (MCP) for Peritoneal Dialysis (PD) patient visits gives you more control of your time.
Kidney Disease Education
Physicians can bill for up to six pre-dialysis education sessions for patients with Stage 4 Chronic Kidney Disease.1
Physicians, nurse practitioners and others can conduct individual or group sessions. Learn more about the Kidney Disease Education benefit.
Home dialysis training benefit
Physicians can bill up to $500 for training, using code 90989, if a patient selects a home therapy.2
Day One billing
If a patient is uninsured, but Medicare-eligible, care teams can begin billing for home dialysis on Day One and the 90-day waiting period is waived.3
Monthly Capitated Payment
MCP between In-center Hemodialysis (HD) and PD differs greatly in the reimbursement of your
time. In-center HD requires four monthly patient visits for
maximum reimbursement. While PD only requires one monthly patient
visit for maximum reimbursement.4 And PD visits typically
happen in one-on-one, private meetings where nephrologists have an opportunity
to provide higher-quality interactions with their patients. This difference in
the amount of time needed to care for patients allows nephrologists to care for
more patients in the same amount of time invested.