[Code of Federal Regulations]
[Title 42, Volume 2]
[Revised as of October 1, 2002]
From the U.S. Government Printing Office via GPO Access
[CITE: 42CFR413.182]

[Page 607]
 
                         TITLE 42--PUBLIC HEALTH
 
                             HUMAN SERVICES
 
PART 413--PRINCIPLES OF REASONABLE COST REIMBURSEMENT; PAYMENT FOR END-STAGE RENAL DISEASE SERVICES; PROSPECTIVELY DETERMINED PAYMENT RATES FOR SKILLED NURSING 
FACILITIES--Table of Contents
 
Subpart H--Payment for End-Stage Renal Disease (ESRD) Services and Organ 
                            Procurement Costs
 
Sec. 413.182  Criteria for approval of exception requests.

    CMS may approve exceptions to an ESRD facility's prospective payment 
rate if the facility demonstrates, by convincing objective evidence, 
that its total per treatment costs are reasonable and allowable under 
the relevant cost reimbursement principles of part 413 and that its per 
treatment costs in excess of its payment rate are directly attributable 
to any of the following criteria:
    (a) Atypical service intensity (patient mix), as specified in 
Sec. 413.184.
    (b) Isolated essential facility, as specified in Sec. 413.186.
    (c) Extraordinary circumstances, as specified in Sec. 413.188.
    (d) Self-dialysis training costs, as specified in Sec. 413.190.
    (e) Frequency of dialysis, as specified in Sec. 413.192.