COVID-19 Information Hub

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We are following the developments of the Coronavirus Disease (COVID-19) and the monitoring by the Centers for Disease Control and Prevention (CDC).  We will continue to collect and share information and resources on this page to support our renal healthcare professionals and facilities.  


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The discussion thread is for
Renal Healthcare Association
Members only.


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CDC Resources


CDC Situation Summary 
This is a rapidly evolving situation and CDC will provide updated information as it becomes available, in addition to updated guidance. Updated daily.

CDC Information for Healthcare Professionals 
Includes information and guidance for persons under investigation (PUI), clinical care, infection control, protective equipment, and home care guidance. 

Nursing Home COVID-19 Data Dashboard - updated 1/20/21


    CDC Information and Resources for Hemodialysis Facilities and Patients 



    CDC Information for Healthcare Facilities 
    Resources for clinics and healthcare facilities to prepare and respond to the community spread of coronavirus disease (COVID-19). 


    Additional CDC Resource Links
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    CMS Resources


    CMS Current Emergencies Website 
    Visit this page to keep up with the important work CMS is doing in response to Coronavirus Disease (COVID-19).

    CMS - Re-Opening Healthcare Facilities 

    CMS - Coronavirus Waivers & Flexibilities 

    CMS Relief for Quality Reporting Programs - CROWNWeb and QIP info included
    • Nursing Home Five Star Quality Rating System Updates - FAQ - 4/24/20
    • Announcement - 3/22/20
    • Provider Enrollment Relief FAQ - 3/23/20
    • The NRAA government affairs team has outlined details included in reference to CROWNWeb and QIP reporting:
      • For 2019, deadlines for October 1, 2019 -December 31, 2019 (Q4) data submissions are optional. If Q4 data is submitted, it will be used to calculate payment (where appropriate). If Q4 data is not able to be submitted, then 2019 performance will be calculated based on data from January 1, 2019 - September 30, 2019 (Q1 - Q3) and available data.
      • For 2020, CMS will not count data from January 1, 2020 through January 30, 2020 (Q1 - Q2) for performance or payment programs. Therefore, facilities do NOT need to submit data for this time period.

    CMS New Targeted Plan for Healthcare Facility Inspections - 3/23/20

    CMS Clinical and Technical Guidance for Health Care Facilities


    Medicare and Other Coverage Guidance

    Medicaid and Childrens' Health Insurance Program (CHIP) Resources

    CMS Coronavirus (COVID-19) Partner Toolkit
     - updated 3/19/20
    CMS has developed this toolkit to help you stay informed on CMS and HHS materials available on the COVID-19. Please share these materials, bookmark the page, and check back often for the most up-to-date information. 

    CMS Podcasts and Transcripts 
    Page to listen to the audio files and read transcripts for the COVID-19 Stakeholder calls.

    For CMS Issued Materials on Medicare Telehealth - Click Here 

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    Telehealth Guidance


    As you know, telemedicine and virtual care has become a key resource in the COVID-19 strategy. CMS and private payers have taken significant steps in recent days to provide coverage, privacy and payment guidance on the use of telemedicine (including phone calls).  The NRAA team has assembled the following list of resources:

    Press Releases

    The Office of the Assistant Secretary for Preparedness and Response (ASPR) Technical Resources, Assistance Center, and Information Exchange (TRACIE) released an Express message that includes: 

    CMS Issued Materials on Medicaid & CHIP Telehealth:

    CMS Issued Materials on Medicare Telehealth: 


    HIPAA:  Effective immediately, the HHS Office for Civil Rights (OCR) will exercise enforcement discretion and waive penalties for HIPAA violations against health care providers that serve patients in good faith through everyday communications technologies, such as FaceTime or Skype, during the COVID-19 nationwide public health emergency. 


    Telehealth Legal Resources 


    Practice Guidelines & Additional Telehealth Resources

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    Other Resources


    Agency Updates 

    CARES Act 
    Attestation Portal is Open - 4/16/20 
    • Providers who have been allocated a payment from the initial $30 billion general distribution must sign an attestation confirming receipt of the funds. 
    HHS Announces Immediate Infusion of $30 Billion into Healthcare System - 4/9/20

    Other Resources

    Transportation and Cleaning 
    resources received from Kidney Community Emergency Response (KCER)


    Training Materials

    National Emerging Special Pathogens Training and Education Center (NETEC)
    Collaboration between Emory University, University of Nebraska Medical Center/Nebraska Medicine and the New York Health and Hospital Corporation, Bellevue Hospital Center. 

    NETEC offers a variety of online training and resources including: 

    Online Training - World Health Organization (Free, must create an OpenWHO account)


    Infection Prevention 

    CDC Resources 

    Other Resources
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    Mental Wellness


    FOR EVERYONE

    FOR COMMUNITIES

    FOR FAMILIES AND CHILDREN

    FOR PATIENTS

    The Coalition for Supportive Care for Kidney Patients has developed communication tools and resources to help clinicians respond to patients who are feeling stress, vulnerable, and scared during this pandemic.

    Additional Communication Tools for Patients and Families


    FOR PROVIDERS AND HEALTHCARE WORKERS


    FOR FIRST RESPONDERS 



    PAST EVENTS

    PCSS Clinical Roundtable - Taking Care of Yourself Using Mindfulness and Other Techniques = 4/23/20

    Managing Your Healthcare Providers' Mental and Physical Wellness in the Time of COVID-19 - 4/29/20
    Presented by Sepsis Alliance 

    CDC: Psychological First Aid: Addressing Mental Health Distress During Disasters - 4/22/20
    Hosted by CDC Emergency Partners Information Connection (EPIC)
    Presentation Slides 

    Managing Your Mental Health During the COVID-19 Pandemic - 4/7/20
    Presented by Society of Critical Care Medicine
    Recording Available Here 

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    Latest Discussions List

    • Posted in: Voices Community

      Sure hope they do a better job documenting their MCP visits...... Sent from my phone, please forgive any typos Thank you More

    • Posted in: Voices Community

      There are so many answers to this but the biggest one is the surveyor - The surveyor's don't necessarily look for "monthly" notes but they do look to see that the clinical care is appropriate and that changes to prescriptions and medications are ordered ... More

    • Posted in: Voices Community

      I am in agreement with Maria and Julie. At UVA, we don't require a fitness test, it is in their job description. That seems to be working well and assists when there are restrictions imposed by medical factors. ------------------------------ Kim Deaver ... More

    • Posted in: Voices Community

      V560 states "The dialysis facility must ensure that all dialysis patients are seen by a physician, nurse practitioner, clinical nurse specialist or physician's assistant providing ESRD care at least monthly, as evidenced by a monthly progress note placed ... More

    • Posted in: Voices Community

      We do not require any type of fitness testing and like Maria, we have physical job requirements for every position.  We do ask the staff member to voluntarily shadow the job for at least 2 hours and respond if they believe they can handle both the clinical ... More

    • Posted in: Voices Community

      We have never required this. We have ADA requirements of each job role and this is the way we can discern if the person has the necessary physical ability to do the position. ------------------------------ Maria Regnier Senior Director Dialysis Services ... More

    • Posted in: Voices Community

      Hi! There is one particular at my facility who rounds and sometimes does not chart in the EMR. I do make a note in each patient's chart of the rounding but the nephrologist doesn't always. His office manager is upset sometimes when she notices this on ... More

    • Posted in: Voices Community

      I attended the webinar that was on the 20th, which means two days ago. I think they are allowing expenses up to the end of the 2nd Q of 2021. Also, in this webinar they dealt with how to report if you got money two or three different times. They said ... More

    • Posted in: Voices Community

      Nemat, I agree there is much confusion on this topic. Our Controller passed the attached on to me today. It was a webinar put on by Clifton, Larson and Allen. They have done some good sessions in the past. Take a look here, it doesn't appear to answer ... More

    • Posted in: Voices Community

      But does that include training?  This seems counter intuitive since they pay for hemodialysis during training for CCPD ------------------------------ Caprice Vanderkolk RN, BS, MS, BC-NE Manager /Administrator Dialysis and Pediatrics Kidney Center ... More

    • Posted in: Voices Community

      It looks like your MAC is applying the 13 treatments during a 30 day month and 14 treatments during a 31 day month unless there is medical justification for additional treatments rule More

    • Posted in: Voices Community

      Can you please remove me from the e-mail chain. I am no longer in Dialysis. Thanks, Carmen Vinje, RN, BSN Clinical Transplant Coordinator UW Transplant Center 600 Highland Ave. F8/118 Madison, WI 53792-1735 More

    • Posted in: Voices Community

      Is it the frequency of the training, or did the patient exceed the maximum training treatments? More

    • Posted in: Voices Community

      Thanks Chris! We suddenly getting denials on home training sessions because it is being furnished >3 times per week. We have been reviewing codes and the claims, but not finding any changes from previous claims we got paid for. Compliance is supporting ... More

    • Posted in: Voices Community

      The last paragraph of what you are reading states: " ESRD PPS claims with dates of service on or after January 1, 2011, billing for dialysis training sessions will receive a training add-on payment which is adjusted by the geographic area wage index ... More

    • Posted in: Voices Community

      I took that from "Medicare Claims Processing Manual- Chapter 8 Outpatient ESRD Hospital, Independent Facility, and Physician Supplier Claims (Rev. 10236, 07-31-20)". Can you tell me where to find a newer version as this is the only one I can find? ... More

    • Posted in: Voices Community

      Chris is correct, its $95.60 multiplied by your wage index. More

    • Posted in: Voices Community

      You are reading an old manual. You get 90ish dollars times your wage index. Which is added to your treatment rate for each training session More

    • Posted in: Voices Community

      can you show me where you are reading this?  We are using this information ------------------------------ Caprice Vanderkolk RN, BS, MS, BC-NE Manager /Administrator Dialysis and Pediatrics Kidney Center Office C2318 2450 ... More

    • Posted in: Voices Community

      Maria, You mentioned about billing manual Where do we get that ? Get Outlook for iOS More