What is an ESCO patient?

What is an ESCO patient?

An “ESCO” or “ESRD Seamless Care Organization” is an Accountable Care Organization (ACO) comprised of providers and suppliers who voluntarily come together to form a legal entity that offers coordinated care to beneficiaries with ESRD through the Comprehensive ESRD Care model.

What is the comprehensive ESRD care model?

The Comprehensive ESRD Care (CEC) Model was designed to identify, test, and evaluate new ways to improve care for Medicare beneficiaries with End-Stage Renal Disease (ESRD).

What are ESRD codes?

N18. 6 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

Are all patients with ESRD covered by Medicare?

ESRD Medicare covers a range of services to treat kidney failure. In addition, you will also have coverage for all the usual services and items covered by Medicare. To be eligible for ESRD Medicare, you must be under 65 and diagnosed with ESRD by a doctor.

What is ESCO in dialysis?

What is an End Stage Renal Disease Seamless Care Organization, or ESCO? An ESCO is a partnership between nephrologists and dialysis providers that offers highly coordinated, patient-centered care to assigned Medicare beneficiaries with End Stage Renal Disease (ESRD).

What is ESRD on hemodialysis?

End-Stage Renal Disease (ESRD) is a medical condition in which a person’s kidneys cease functioning on a permanent basis leading to the need for a regular course of long-term dialysis or a kidney transplant to maintain life.

What is N18 6 End Stage renal?

Code N18. 6, end-stage renal disease, is to be reported for CKD that requires chronic dialysis. relationship between diabetes and CKD when both conditions are documented in the medical record.


This code would be a focus of clinical documentation improvement, as stages 4 and 5 are complication/comorbidity (CC) diagnoses, and ESRD is a major complication/comorbidity (MCC).

Are all ESRD patients on dialysis?

Nearly 786,000 people in the United States are living with ESKD, also known as end-stage renal disease (ESRD), with 71% on dialysis and 29% with a kidney transplant.

Is ESRD reversible?

Acute renal failure has an abrupt onset and is potentially reversible. Chronic renal failure progresses slowly over at least three months and can lead to permanent renal failure. The causes, symptoms, treatments, and outcomes of acute and chronic are different.

What is the difference between CKD and ESRD?

There are five stages of kidney disease. The difference between CKD Stage 5 and ESRD is the dependence on dialysis. A patient with CKD Stage 5 may or may not be on dialysis and the damage to the kidney may be reversible. A patient with the diagnosis of ESRD requires chronic dialysis.