Hospitals with an ESRD inpatient population exceeding a specified threshold are eligible to receive add-on funding through the Medicare cost report. The regulation (42CFR 412.104) permitting such additional funding is intended to reimburse hospitals for otherwise uncompensated costs associated with renal disease and dialysis treatments. The regulation requires identifying qualifying patients with specific DRGs only. ESRD enrollment and clinical data must be accumulated and reconciled correctly in order to present an accurate and documented claim to the Medicare fiscal intermediary for add-on payment eligibility.

SRG is expert in determining if your hospital qualifies for additional ESRD reimbursement and expert in the accumulation and documentation of all data necessary to perfect your claim on the Medicare cost report. We maintain access to ESRD related data bases which allow us to identify qualifying patients with certainty. SRG has assisted many hospitals with their efforts to be more fully reimbursed for the costs of treating ESRD patients, fully in accord with Medicare regulations. We are well prepared to assist your institution as well.