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MU00.@BFN2699.ESNDM170
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NOTE TO: Shared System Coordinators, MEDICARE Coordinators

SUBJECT: End-Stage Renal Disese (ESRD) Prospective Payment System (PPS)
         Pricer Release, Version 2017.0
(November 02, 2016)  --ACTION--refer to CMS change request CR9807

This ESRD Pricer release is the PRODUCTION version for the January 2017
CY 2017 release.

It includes the following changes/additions:

  - BUNDCBSA  - Replaces the previous BUNDCBSA

                 - This is a text file containing the PPS Wage Index
                 - Added records effective 01/01/2017


  - ESBUN170  - Replaces ESBUN160

                 - This is a COBOL copybook containing PPS Wage Index
                 - Added records effective 01/01/2017


  - ESCAL170  - New module

   - This is the new Calculation Subprogram for CY 2017
   - Implements CR9807
     - Includes changes for CY 2017
     - New Condition Code 84 and Logic for AKI
         - AKI payment = Base Rate adjusted by Wage Index
         - For AKI claims, skip validation of Height, Weight,
           Comorbid, and QIP Reduction
         - Wage Index adjustment is the only adjustment for AKI
           payments
   - Added variable BSA-NATIONAL-AVERAGE that's used
     to calculate the BSA. It replaces the value that had been
     hard-coded as 1.90.
   - Removed 5000-CALC-COMP-RATE-FACTORS PARAGRAPH because it was for
     Composite pricing that hasn't been used since 2013.


  - ESDRV170  - Replaces ESDRV160

    - This is the new Driver Subprogram for CY 2017.0
    - Added CALL to new ESCAL170 module


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A partitioned data set (PDS) of the Version 2017.0 code
(MU00.@BFN2699.ESNDM170) is at the CMS Data Center for users
to obtain by Connect:Direct (Network DataMover).

The 28 members listed below comprise the Pricer. The PDS only includes
members that changed or are new since the previous release.
The changed and new members are marked '**' and should be
used in conjunction with the current production Pricer files.


      NAME
      --------
     BASECBSA
     BASERATE
     BILLCPY
 **  BUNDCBSA
     DSCNTRL
 **  ESBUN170
     ESCAL056
     ESCAL062
     ESCAL070
     ESCAL071
     ESCAL080
     ESCAL091
     ESCAL100
     ESCAL117
     ESCAL122
     ESCAL130
     ESCAL140
     ESCAL151
     ESCAL160
 **  ESCAL170
     ESCHI151
     ESCOM151
 **  ESDRV170
     ESWRT151
 **  MANIFEST
 **  README
     RTCCPY
     WAGECPY
