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CMS-1403-FC
consolidated billing does not become subject to that
provision merely by virtue of being furnished via
telehealth. Similarly, we are including a conforming
change in the regulations at §489.20(s) that specify
compliance with consolidated billing as a requirement under
the SNF’s Medicare provider agreement.
N. Section 153: Renal Dialysis Provisions
The following changes affecting payment to ESRD
facilities for ESRD services are effective January 1, 2009:
● Under section 153(a)(1) of the MIPPA, the ESRD
composite rate is increased by 1.0 percent for dialysis
services furnished on or after January 1, 2009, and before
January 1, 2010. This will require us to update the
adjusted drug add-on adjustment as explained in section H
of the preamble of this final rule.
● Section 153(a)(2) of the MIPPA requires that the
composite rate paid to hospital-based facilities be the
same as the composite rate paid to independent renal
dialysis facilities for services furnished on or after
January 1, 2009. In addition, section 153(a)(2) of the
MIPPA requires that in applying the geographic index to
hospital-based facilities, the labor share shall be based
on the labor share otherwise applied for renal dialysis
facilities. Accordingly, we are revising §413.174, which
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