Federal Register - November 8, 2021
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Fuente: Federal Register
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Federal Register / Vol. 86, No. 213 / Monday, November 8, 2021 / Rules and Regulations
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spending $23.83 10,296 = $245,354.
We believe that 10 percent of this population is a more reasonable estimate. If the estimated 10 percent were to use the Tablo System in CY
2022, there would be 102,960 treatments 660 Medicare beneficiaries 156
treatments per year = 102,960
treatments. Applying the estimated $23.83 per treatment TPNIES amount to the 102,960 treatments would result in approximately $2.5 million in spending $23.83 102,960 = $2,453,537, of which, approximately $490,000 would be attributed to beneficiary coinsurance amounts.
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b. Payment for Renal Dialysis Services Furnished to Individuals With AKI
1 Effects on ESRD Facilities To understand the impact of the changes affecting payments to different categories of ESRD facilities for renal dialysis services furnished to individuals with AKI, 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 for renal dialysis services furnished to individuals with AKI, it is imperative that the estimates of payments in CY
2021 and CY 2022 contain similar inputs. Therefore, we simulated payments only for those ESRD facilities
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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 for renal dialysis services furnished to individuals with AKI. We updated the 2020 claims to 2021 and 2022 using various updates. The updates to the AKI
payment amount are described in section III.B of this final rule. Table 10
shows the impact of the estimated CY
2022 payments for renal dialysis services furnished to individuals with AKI compared to estimated payments for renal dialysis services furnished to individuals with AKI in CY 2021.
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