Modality Selection

Under the current Centers for Medicare and Medicaid (CMS) ESRD Prospective Payment System, it is critical for facilities to inform patients on modality options and identify the option best suited for the patient and the program. It has been demonstrated, if right for the patient, Peritoneal Dialysis is the most cost effective option allowing the patient to dialyze in the comfort of their home. Let’s take a quick look at Peritoneal and In-center Hemodialysis:

Peritoneal Dialysis

Hemodialysis (In-Center)

Up to 15 Days of Reimbursable training.

New Patient start of Dialysis add-on for 4 months.

Patient dialyzes in the comfort of their home. Once monthly clinical visit.

Lower drug usage - less cost.

No reimbursement for first 90 Days of dialysis services.

New patient start of dialysis add-on for 1 month.

Patient must travel to and from facility 3x/week for treatment.

Higher drug usage - increased cost.

As you can see, modality selection greatly influences profitability.