ESRD pay changes not covered by grace period

Article Overview

This article covers Medicare payment changes for end stage renal disease services and the confusion surrounding how claims may be handled during the transition to CMS-created G codes. It is relevant to coders, billers, compliance staff, and renal care practices that need to understand how payer policy changes can affect claim submission and coordination of benefits. The discussion focuses on the payment environment, the role of CMS, and the practical challenges created when different payers do not recognize the same reporting framework.