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ESRD QIP PSR Preview Info for Facilities - Dialysis Facility Reports

ESRD QIP PSR Preview Info for Facilities - Dialysis Facility Reports 2025

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The document is a Performance Score Report for the Payment Year 2013 under the End-Stage Renal Disease Quality Incentive Program (ESRD QIP) administered by the Centers for Medicare & Medicaid Services (CMS). It outlines the purpose of the program, which is to enhance patient care through performance standards. The report provides a sample facility's Total Performance Score of 30 out of 30, indicating no payment reduction for failing to meet quality standards. It details scoring calculations based on two measures: Anemia Management and Dialysis Adequacy, and explains the process for facilities to review their scores and submit inquiries during a designated Preview Period.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the QiP program?

The Quality Incentive Pool (QIP) Program is the largest pay-for-performance program supported by UCSF Primary Care and the Office of Population Health. Over time, a greater portion of the payments made by Medi-Cal have been tied to attaining quality measure targets.

What is a dialysis facility report?

Quarterly Dialysis Facility Reports provide facilities with advance notice of new and updated quality measures that will be publicly reported on the Care Compare website. These measures are updated quarterly in January, April, July, and October. These reports can be accessed on the DialysisData.org website.

What is included in the ESRD bundle?

WHAT IS A BUNDLED PAYMENT FOR DIALYSIS? In a bundled payment, the costs of dialysis treatments, medications, labs and supplies are paid to the clinic by Medicare Part B in one payment rather than a separate payment for each item.

What is the ESRD program for Medicare?

People with ESRD can choose either Original Medicare or a Medicare Advantage Plan for their Medicare coverage. Original Medicare includes Part A and Part B. You can join a separate Medicare drug plan to get Medicare drug coverage (Part D). You can use any doctor or hospital that takes Medicare, anywhere in the U.S.

What is the CMS ESRD PPS base rate?

Annual Update to the ESRD PPS Base Rate: Under the ESRD PPS for CY 2025, Medicare expects to pay $6.6 billion to approximately 7,700 ESRD facilities for furnishing renal dialysis services. The final CY 2025 ESRD PPS base rate is $273.82, which is an increase of $2.80 from the current CY 2024 base rate of $271.02.

What is the life expectancy of ESRD patients on dialysis?

The average life expectancy on dialysis is 5-10 years. However, many patients have lived well on dialysis for 20 or even 30 years.

What is the ESRD QIP?

What is the ESRD QIP? The Centers for Medicare Medicaid Services (CMS) administers the End-Stage Renal Disease Quality Incentive Program (ESRD QIP) to promote high-quality services in renal dialysis facilities.

ESRD QIP PSR Preview Info for Facilities - Dialysis Facility Reports 2025

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