For 2011 Home Dialysis Patients Must Have Face to Face Visit

December 1st, 2010

Effective January 1, 2011, the dialysis monthly capitation payment requires the provider to have at least one face-to-face patient visit per month with the patient for the home dialysis MCP service as described by CPTs 90963, 90964, 90965, and 90966.

Medicare contractors may waive the requirement for a monthly face-to-face visit for the home dialysis MCP service on a case by case basis; for example, when the nephrologist’s notes indicate that the physician actively and adequately managed the care of the home dialysis patient throughout the month.

For the Medicare Learning Matters article on topic visit:

https://www.cms.gov/MLNMattersArticles/downloads/MM7003.pdf

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