Federal Register - November 8, 2021
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Fuente: Federal Register
Federal Register / Vol. 86, No. 213 / Monday, November 8, 2021 / Rules and Regulations
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this final rule. We also recognize that different types of entities are in many cases affected by mutually exclusive sections of this final rule, and therefore for the purposes of our estimate we assume that each reviewer reads approximately 50 percent of the rule.
We seek comments on this assumption.
Using the May, 2020 mean average wage information from the BLS for medical and health service managers Code 119111, we estimate that the cost of reviewing this rule is $114.24 per hour, including overhead and fringe benefits https www.bls.gov/oes/
current/oes119111.htm. Assuming an average reading speed of 250 words per minute, we estimate that it will take approximately 300 minutes 5 hours for the staff to review half of this final rule,
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which is approximately 75,000 words.
For each entity that reviews the rule, the estimated cost is $571.20 5 hours
$114.24. Therefore, we estimate that the total cost of reviewing this regulation is $163,363.20 $571.20
286.
5. Impact Statement and Table a. CY 2022 End-Stage Renal Disease Prospective Payment System 1 Effects on ESRD Facilities To understand the impact of the changes affecting payments to different categories of ESRD facilities, it is necessary to compare estimated payments in CY 2021 to estimated payments in CY 2022. To estimate the impact among various types of ESRD
facilities, it is imperative that the
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estimates of payments in CY 2021 and CY 2022 contain similar inputs.
Therefore, we simulated payments only for those ESRD facilities for which we are able to calculate both current payments and new payments.
For this final rule, we used CY 2020
data from the Part A and Part B
Common Working Files as of February 12, 2021, as a basis for Medicare dialysis treatments and payments under the ESRD PPS. We updated the 2020 claims to 2021 and 2022 using various updates.
The updates to the ESRD PPS base rate are described in section II.B.1.d of this final rule. Table 9 shows the impact of the estimated CY 2022 ESRD PPS
payments compared to estimated payments to ESRD facilities in CY 2021.
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