Is a dialysis recliner for home hemodialysis separately billable to Medicare for a Method I patient?
The Medicare Claims Processing manual that addresses home dialysis states this: The following items are paid for and must be furnished under the composite rate. The facility may furnish them directly under arrangements, to all of its home dialysis patients. If the facility fails to furnish (either directly or under arrangements) any part of the items and services covered under the rate, then the facility cannot be paid any amount for the part of the items and services that the facility does furnish. • Medically necessary dialysis equipment and dialysis support equipment; • Home dialysis support services including the delivery, installation, maintenance, repair, and testing of home dialysis equipment, and home support equipment; • Purchase and delivery of all necessary dialysis supplies; • Routine ESRD related laboratory tests; and • All dialysis services furnished by the facility’s staff. See Section 80.1 of the Medicare Claims Processing Manual, Chapter 8 – Outpatient ESRD Hospital, I
Related Questions
- Where can I find the Medicare requirements for a home health agency to receive a patient in a beneficiary elected transfer situation?
- How much can a Method II supplier charge Medicare as a primary payer for home hemodialysis patients?
- How does Medicare pay for home hemodialysis treatments as a primary payer under Method I?
