ESRD Conditions for Coverage

Medical Director Role in ESRD

The 18 regional ESRD Networks are established in legislation and contract with the Centers for Medicare and Medicaid Services to improve the quality and safety of dialysis, maximize patient rehabilitation, encourage collaboration among and between providers toward common quality goals, and improve the reliability and the use of data in pursuit of quality improvement. The Networks are funded by a $0.50 per treatment fee deducted from the reimbursement to dialysis providers, and their deliverables are determined by a statement of work, which is updated in a new contract every 3 years.

ESRD Conditions for Coverage

On April 15, 2008, the Centers for Medicare and Medicaid Services (CMS) released the revised Conditions for Coverage for ESRD facilities. These are the regulations that dialysis facilities must meet to be Medicare certified to provide dialysis services to patients with End Stage Renal Disease.

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