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Kidney Centers


Frequently Asked Questions
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LATEST UPDATES

Answers to the most commonly asked questions related to rates.


7/1/2008 - The July 1, 2008 Rate Updates are available for download.

12/11/07 - There are no January 1, 2008 Rate or Code Updates.



9/27/06 - Here is a CMS Notice:

Revised:

MM5216 – Change in Healthcare Common Procedure Coding System (HCPCS) for Renal Dialysis Facilities and Hospitals Billing for End Stage Renal Disease (ESRD) Related Epoetin Alfa (EPO) Effective January 1, 2007

 
http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM5216.pdf

7/1/06 - The fee schedule was updated

12/22/05- CMS has made changes to the billing codes for this program.  HRSA is updating our fee schedule to match the codes of CMS.  Revisions will be effective for dates of service on and after January 1, 2006.  Changes may include additions, deletions and changes of descriptions.  Depending on the changes there may also be changes to some rates and policy.



Rates Reimbursement Contact

Lauren Johnston: 
johnsla2@dshs.wa.gov

Lauren is the contact for the actual reimbursement rates.  

For questions regarding the actual amounts paid, billing questions, or policy questions
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Related WAC (Washington Administrative Code)
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The WAC provides information on policy, parameters of the program as well as the methodology to determine reimbursement rates.

 
Billing Instructions
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The BI includes policy related to the program, the process for billing services and the maximum amount we will reimburse (the rate) for the service/item.

 
Fee Schedule
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The fee schedule is a spreadsheet of billing codes and maximum reimbursement amounts.

 
 

For comments or questions regarding Kidney Centers, email contact us


Page modified: November 2009       

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