PDPM capturing dialysis

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Hi I am an RCM that works closely with my MDS nurse. When we are looking over PDPM for peritoneal dialysis it seems like we really can't capture the reimbursment for the extra time and cost. We are considering taking on these patients but it doesn't seem to be worth it. Thoughts? Does anyone successful capture it? 

Talino

1,010 Posts

Specializes in ER CCU MICU SICU LTC/SNF.

Since dialysis is not delivered daily it does not rise to a skilled level of care. 

For newly initiated dialysis, management of care plan and observation/assessment of condition may be applied until the patient is essentially stabilized. This, however, requires meticulous daily documentation. Medicare Benefit Policy, Chapter 8  pp 27-28