2006 proposed fee schedule - American Society of Clinical Oncology

(9) Crosswalk Table
218
The crosswalk table for the MSA and CBSA can be found
in Addendum F to this proposed rule.
4. Proposed Revisions to §413.170 (Scope) and §413.174
(Prospective rates for hospital-based and independent ESRD
facilities)
Under section 623 of the MMA, we propose to revise
§413.170(b) to specify that this subpart provides procedures
and criteria under which only a pediatric facility may
receive an exception.
Also under section 623 of the MMA, we propose to revise
§413.174 to reflect the changes in the additional payment
for separately billable drugs.
5. Proposed Revisions to the Composite Payment Rate
Exceptions Process
[If you choose to comment on issues in this section,
please include the caption “ESRD—Exceptions Process” at the
beginning of your comments.]
The current regulations at §413.180 through §413.192
contain the procedures for requesting exceptions to ESRD
facility composite payment rates, and establish five
criteria for approval of exception requests. The five
criteria are as follows:
● Atypical service intensity (§413.184).
● Isolated essential facility (§413.186).