How does Medicare reimburse dialysis clinics for an HD or APD machine, supplies, and support services under Method I?
When a patient selects Method I, Medicare will cover reasonable and necessary expenses that the clinic incurs to install home dialysis equipment to do home hemodialysis or APD, including: • Delivery to the home of home dialysis equipment needed to do APD or HD. • A system to purify water for HD. • Plumbing and/or electrical work to tie the equipment into existing plumbing and electrical systems. Medicare will not pay to wire the room where the APD or HD machine is located or install plumbing to the room. • Testing the APD or HD equipment to be sure it is working correctly. Medicare will not pay for equipment maintenance contracts, but will pay for maintenance as it is provided. • A basic recliner chair (for HD) that does not rock, swivel, vibrate, or heat. If the patient wants to have a recliner with these features, the invoice should indicate the charge for the basic chair. The patient can pay to upgrade to premium features. • A meter to measure the conductivity of HD dialysis solutio
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