Sections 2721, 2722 and 2725 of the
Provider Reimbursement Manual describes the information End Stage
Renal Disease facilities must submit in justifying an exception
request to their composite rate for outpatient dialysis
services.
In accordance with changes made
by section 422 of BIPA 2000 and section 623 of the MMA. The major
changes are; (a) Only a pediatric ESRD facility that did not have
an approved exception rate as of October 1, 2002 can now file for
an exception to its updated composite payment rate
$34,200
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Saleda Perryman
No
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.