Legal

NRA vs. BC of Georgia
Favorable payer-side ruling regarding key Medicare Secondary Payer Act issues.

Boise Dialysis vs. Nieto
What Plans can expect if they pay as “reasonable and customary”. Note: similar name, but different cost containment vendor in this case who pursued a much different strategy than we employ.

Medicare Secondary Payer Act
One of the key statutes that has bearing on the value our program can bring to health Plans.

Medicare

Enrolling in Medicare
CMS guide to the Medicare enrollment process, including ESRD-related enrollment.

Medicare Coverage of Dialysis and Transplant Services
CMS guide to the services available to ESRD patients.

Medicare: Who Pays First
CMS guide to the coordination of benefits between health Plans and Medicare.

 

General Dialysis Links

RenalWeb
The "daily newspaper" for the dialysis industry and community, providing useful information, new products, services, and educational resources.

United States Renal Data System
National data system that collects, analyzes, and distributes information about ESRD in the United States.

Dialysis From the Sharp End of the Needle
Blog tracking industry news and trends, in advocacy, reimbursement, politics and the provision of dialysis.

We Recommend

Med-Vision
20/20 Healthcare Vision. Med-Vision partners with health Plans to implement a data-driven, outcomes-focused program that identifies and captures actionable information to improve quality, increase productivity and lower cost.

The Phia Group
Specializes in controlling health care costs by retrieving collectible claim dollars using subrogation and other recovery tools.

Best Doctors
Best Doctors brings the clinical knowledge of experts to the problems of people with serious medical conditions and injuries.