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. 

This 1Q21 update to the calculator includes all sheets and input factors updated with the latest information for use in 2021 payment and cost analysis. Now updated with updated average sales prices (ASPs) for Part B drugs, reflecting Q420 actual prices from the April 2021 pricing file. (3/15/21)
Changes specifically made to address 2021 changes in the ESRD PPS Payment model include:
1. Remove TDAPA payments for calcimimetics
2. Add calcimimetics to outlier payment calculations
3. Add the 3% Home Dialysis Payment Add-on (HDPA) for ESRD Treatment Choices (ETC)-participating facilities

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 a 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.