ESRD Alert: Payment System Update — Review Billing Instructions by July 6
CMS updates ESRD Prospective Payment System; action required before July 6, 2026.
Action required by
July 6, 2026
Review the Action Required section below and ensure your team has completed all compliance steps before this date.
The CMS Transmittal R13770CP introduces updates to the End Stage Renal Disease Prospective Payment System (ESRDPPS), effective July 6, 2026.
What Changed This transmittal revises the billing instructions and payment calculations under the ESRD Prospective Payment System. Health organizations serving ESRD patients must ensure compliance with new financial adjustments affecting reimbursement rates.
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Quick answers
What specific changes were made to the ESRDPPS?
The transmittal revises billing instructions and payment calculations affecting ESRD reimbursement rates.
By when must changes to billing workflows be implemented?
Changes must be implemented by the effective date, July 6, 2026.
Content summarized from publicly available federal publications including CMS, MAC contractors, and the Federal Register. CLV Intelligence is not affiliated with or endorsed by any government agency. This is not legal or medical advice.