42 CFR § 413.230
Federal
Determining the per treatment payment amount.
42 CFR § 413.230
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7 segments
42 CFR § 413.230
42 CFR § 413.230
Determining the per treatment payment amount. The per-treatment payment amount is the sum of:
(a)
The per treatment base rate established in § 413.220, adjusted for wages as described in § 413.231, and adjusted for facility-level and patient-level characteristics described in §§ 413.232, 413.233, and 413.235 of this part;
(b)
Any outlier payment under § 413.237;
(c)
Any training adjustment add-on under § 413.235(c);
(d)
Any transitional drug add-on payment adjustment under § 413.234(c);
(e)
Any transitional add-on payment adjustment for new and innovative equipment and supplies under § 413.236(d); and
(f)
Any add-on payment adjustment for new renal dialysis drugs or biological products in existing ESRD PPS functional categories after the payment period for the transitional drug add-on payment adjustment has ended, as described in § 413.234(c)(3) and (g).
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