I wonder how many home training programs have tried to get a higher reimbursement rate for training and how successful they were.
From Medicare Benefit Policy Manual, Chapter 11 End Stage Renal Disease (ESRD)
[b]60 - Training
PR 2725.5 (General)
(Rev. 1, 10-01-03)[/b]
Self-dialysis and home dialysis training are programs that train ESRD patients to perform self-dialysis in the facility or home dialysis (including CAPD and CCPD) with little or no professional assistance. They also train other individuals to assist patients in performing self-dialysis or home dialysis. Dialysis training services are reimbursed in accordance with the Medicare Claims Processing Manual, Chapter 8, “Outpatient ESRD Hospital, Independent Facility, and Physician/Supplier Claims,” §50.8. A facility that has training costs greater than its composite training rate may apply for an exception to its training rate. However, the ESRD facility is responsible for demonstrating that its per treatment costs are reasonable and allowable. The burden of proof is on the facility to establish this fact.