Corporate Compliance

One in three dialysis centers subject to Medicare penalties

Compliance Monitor, December 28, 2011

Nearly one third of 4,939 U.S. kidney dialysis centers will receive Medicare reimbursement penalties of between 0.5% and 2% beginning January 1 because of poor quality scores in anemia management and/or dialysis adequacy, CMS said in a December 15 press release.

This is the first time quality scores for dialysis centers have been rated for financial penalties under this program, which was authorized by the Medicare Improvements for Patients and Providers Act of 2008.

Of the centers that scored the worst, about 29 centers will receive a 2% reduction in Medicare payments, about 380 will see a 1.5% reduction, about 296 will be paid 1% less and 819 will see a 0.5% reduction. An additional 625 facilities will not have a payment reduction because of insufficient data.

This article has been adapted from an article originally published on December 16 on the HealthLeaders Media website.

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