All PlansReimbursementMedium impact
Newsletter Vol. 22, No.08
New Jersey Medicaid·NJ · Nephrology·Provider Notice
We identified it
Jun 20, 2026
Summary
New reimbursement guidelines have been issued for End Stage Renal Disease (ESRD) services when billed using the hospital's provider number. This affects how dialysis and related ESRD services are processed and reimbursed through hospital billing systems.
Action Required
Review Newsletter Vol. 22, No.08 from the full policy document at https://www.njmmis.com/documentDownload.aspx?document=22-08.pdf to understand specific reimbursement changes for ESRD services. Billing team should coordinate with hospital billing departments if your practice provides ESRD services under hospital provider numbers to ensure compliance with new guidelines.