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End-stage renal failure, also known as end-stage renal disease (ESRD), is the final, permanent stage of chronic kidney disease, where kidney function has declined to the point that the kidneys can no longer function on their own.
(14) Total performance score (TPS) means the numeric score ranging from 0 to 100 awarded to each ESRD facility based on its performance under the ESRD QIP with respect to a payment year.
The prospective payment, called the composite rate, covers the bundle of services, tests, drugs, and supplies routinely required for dialysis treatment. The base composite rate for hospital- based providers is $126; for freestanding facilities, it is $122.
The QIP is designed to improve consumer outcomes, service provider performance, and the quality of services. Participating service providers that meet or exceed quality measures developed by DDS with input from stakeholders, are eligible for incentive payments.
When Medicare pays a dialysis facility for a patients care, it expects that care to be of high quality. The End-Stage Renal Disease Quality Incentive Program (ESRD QIP) is one of CMSs Value-Based Purchasing (VBP) programs. It links a dialysis facilitys payment to the quality of the care they provide.

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End stage renal disease facility or ESRD facility means a facility that provides dialysis treatment or dialysis training to individuals diagnosed with end stage renal disease.
The ESRD QIP reduces payments to renal dialysis facilities that do not meet or exceed certain performance standards on applicable measures. The maximum payment reduction CMS can apply to any facility is two percent.

Related links

Sample-PY-2012-Preview-Performance-Score-Report.

Jul 15, 2011 The purpose of the End-Stage Renal Disease (ESRD) Quality Incentive Program (QIP) is to improve patient care.

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(PDF) Outcomes of Infection-Related Hospitalization in Medicare

Patient and dialysis facility characteristics associated with the rate of infection-related hospitalization were examined, with consideration of the region of

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Molina Healthcare of New York, Inc. Provider Manual

Rehabilitation (PSR); monitors nationally recognized quality index ratings for facilities including adverse events and Contracted Providers and Facilities

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