Changes to the End Stage Renal Disease (ESRD) PRICER to Accept the New Outpatient Provider Specific File Supplemental Wage Index Fields, the Network Reduction Calculation and New Value Code for Time on Machine

This article informs you about the changes to the ESRD PRICER software, the new value code required for reporting minutes of dialysis provided during the billing period. Also, the article explains the ESRD Network Reduction calculations from the Fiscal Intermediary Shared System (FISS) into the PRICER and requires MACs to adjust claims for retraining treatments to correct the network reduction.

Last Updated: 01/22/2021