RSE - PPS Calculator

RSE ESRD PPS Calculator

The RSE ESRD PPS Calculator is designed to show monthly payments and costs. Users can reconcile actual Medicare payments via the calculator to ensure they are being reimbursed appropriately.

Developed by Mark Stephens of Prima Analytics, this valuable business tool provides key reports such as monthly facility revenue, cost and profit analysis, case-mix analysis, and a three-year forecast.

New in Q4 2022 Update - September 2022
In addition to updating all supporting data and payment factors to the most recent year, the following enhancements have been implemented:

  • Updated average sales prices (ASPs) for Part B drugs, reflecting Q222 actual prices
  • Updated costs for calcimimetics from the Q4 2022 Outlier Services schedules
  • Updates to TDAPA payment rates from the Q422 TDAPA Payment Schedule
  • Updates to the 2022-2024 three-year forecast assumptions with the latest data from the Q2 2022 ESRD Market Basket Forecast.

The ESRD PPS Calculator is accessible only to Renal Healthcare Association members, it is a complementary tool that members receive as a member benefit. If you are an RHA Member visit the Tools & Resources Library on the online member community Voices to download the latest version (Renal Healthcare Association member login is required).

Not a Member? Join today and enjoy all the member benefits including complimentary access to the RSE Bundle PPS Calculator.

Learn more about how to use this tool to benefit their facility by viewing a previously recorded webinar on Education Station.  

This tool is updated periodically to reflect the most recent industry data set.