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Printed Date: 9/22/2015
The Centers of Medicare & Medicare Services (CMS) has identified an error in the FY 2019 ESRD PPS Pricer currently in Production. The FY 2019 ESRD PPS Pricer applicable to dates of service on or after January 1, 2019, contains approximately thirty Core-Based Statistical Areas (CBSAs) with incorrect wage index values, causing some under/overpayments on ESRD Type of Bill (TOB) 72x.
2/27/2019: Medicare Administrative Contractors (MACs) will initiate mass adjustments on impacted ESRD claims within 90 days from the ESRD Pricer implementation on April 1, 2019. The mass adjustment criteria specified is:
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Last Updated: 02/27/2019