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.
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The 4Q23 update includes all sheets and input factors updated with the following:
- Average sales prices (ASPs) for Part B drugs, reflecting Q223 actual prices
- Costs for calcimimetics from the Q4 2023 Outlier Services schedules
- TDAPA payment rates from the Q423 TDAPA Payment Schedule
- 2023-2025 three-year forecast assumptions with latest data from the Q1 2023 ESRD Market Basket Forecast
Beginning October 1, CMS will begin paying for daprodustat under TDAPA. Accordingly, lines have been added in the calculator to accommodate the entry of daprodustat units for calculating payments.
ACCESS
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.