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Phosphorus Binders in the Bundle – Focus on Claims and Reimbursement Challenges
Phosphorus Binders in the Bundle – Focus on Claims and Reimbursement Challenges
Adrian Amedia, MHA, CMPE
Owner
Independent Dialysis Group, LLC
Adrian Amedia currently serves as the RHA Treasurer and is the owner of Independent Dialysis Group, LLC. He has extensive experience with Nephrology and Dialysis billing, payer contracting, EHR integration, dialysis facility operations, access center operations and healthcare business development. Independent Dialysis Group operates 7 clinics in Ohio and Pennsylvania. Providing over 25 years of care ranging from HD, PD, HHD and SNF HHD.
Becky Berg, MBA, BSN, RN, CDN
Dialysis Director
Sanford Health
Becky Berg is a native of North Dakota and is currently living in Thief River Falls MN. She has 3 very active kids who keep her busy year round. She has worked as a dialysis floor nurse, charge nurse, unit manager and now regional Dialysis Director for Sanford Health. She is currently co-chair of both the Education and Quality Committees. She created the 2018 version of the RHA QAPI tool and is currently working with a Task Force to create an updated tool. She joined the RHA Board of Directors last fall.
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What to Expect for Dialysis Providers and RHA Priorities in the New Congress and New Administration
119th Congress and Trump Administration Outlook for Dialysis:
Join us for an upcoming webinar entitled "What to Expect for Dialysis Providers and RHA Priorities in the New Congress and New Administration.” This webinar, hosted by Mehlman Consulting’s bipartisan partners Lauren Aronson and Dean Rosen will review the 2024 election results, highlight new leaders in Congress, and key Trump Administration officials, and discuss how the federal policy agenda will impact Renal Healthcare Association (RHA) members and key advocacy priorities. This session will provide insights into how shifts in the political landscape may influence policies affecting renal care quality, dialysis patient services, Medicare reimbursements, and early intervention strategies for preventing end-stage renal disease.
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Phosphorus Binders in the Bundle – Who’s Ready? Follow-up
RHA members, join us for an interactive discussion on the implementation of phosphate binders in the dialysis bundle. This exclusive meetup is an opportunity to exchange insights, discuss challenges, and share strategies for integrating phosphate binders effectively. Bring your questions, experiences, and expertise as we navigate this important change together!
Adrian Amedia, MHA, CMPE
Owner
Independent Dialysis Group, LLC
Adrian Amedia currently serves as the RHA Treasurer and is the owner of Independent Dialysis Group, LLC. He has extensive experience with Nephrology and Dialysis billing, payer contracting, EHR integration, dialysis facility operations, access center operations and healthcare business development. Independent Dialysis Group operates 7 clinics in Ohio and Pennsylvania. Providing over 25 years of care ranging from HD, PD, HHD and SNF HHD.
Becky Berg, MBA, BSN, RN, CDN
Dialysis Director
Sanford Health
Becky Berg is a native of North Dakota and is currently living in Thief River Falls MN. She has 3 very active kids who keep her busy year round. She has worked as a dialysis floor nurse, charge nurse, unit manager and now regional Dialysis Director for Sanford Health. She is currently co-chair of both the Education and Quality Committees. She created the 2018 version of the RHA QAPI tool and is currently working with a Task Force to create an updated tool. She joined the RHA Board of Directors last fall.
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This interactive panel discussion provides administrators with a checklist of key dates, deadlines, and best practices to smoothly transition from 2024 into 2025. Stay organized and prepared for year-end and January operational tasks.
This interactive panel discussion will guide administrators through a comprehensive checklist to close out the year and prepare for the upcoming one. We'll cover essential dates, deadlines, and best practices to ensure a smooth transition into 2025. Whether you're tying up loose ends from December or gearing up for January's operational tasks, this session will provide the tools and insights you need to stay organized and on track.
Presented November 2024Dino Capone
President & CTO
OakChase
Mr. Capone is a healthcare software, analytics and data innovator. With a passion for integrating people, process, and technology he has performed deep dives into such clinical areas as disease management, reproductive medicine, and most recently chronic kidney disease. With over 40 years of Information Technology experience in the internet, marketing, health care, manufacturing, promotional services, pharmaceutical, retail and consulting industries, he delivers outstanding leadership to teams and projects, but it is his ability to facilitate the requirements discussions among clinical professionals that assures that results match actual needs. For the last 20+ years he has worked directly with executives and healthcare leaders providing innovative solutions while integrating new technologies into all types of challenging environments. He has worked with various committees within the RHA for the last 13 years including Home Therapies, Quality, Education, and others enjoying the collaboration with industry leaders throughout.
Julie Williams, BSA
Administrator
Branson Dialysis
Julie Williams has been a Dialysis Administrator for 35 years working as an Administrator for several small, physician-owned dialysis programs in SW Missouri, NW Arkansas and NE Oklahoma. She was Controller and Area Administrator for Renal Care Group for 5 years and was responsible for regulatory and financial oversight of East Texas Market including outpatient hemodialysis, peritoneal dialysis and acute dialysis programs. She also worked on a due diligence team to review programs for acquisitions. Julie is currently Administrator and part owner with multiple physician groups of 6 independent dialysis programs. She was a Practice manager for a Nephrology group practice for almost 30 years.
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This webinar, held on November 14, reviewed the CY 2025 ESRD PPS final rule. Presenters from ATI Advisory and Mehlman Consulting covered key policy changes, answered questions about CMS updates, and discussed the potential impact on RHA members in 2025.
This webinar, held on November 14, reviewed the CY 2025 ESRD PPS final rule. Presenters from ATI Advisory and Mehlman Consulting covered key policy changes, answered questions about CMS updates, and discussed the potential impact on RHA members in 2025.
Presented November 2024Madeleine Howard
Senior Analyst
ATI Advisory
Madeleine joined ATI with a unique background in health policy and business strategy. Prior to joining ATI, Madeleine served as a Health Policy Fellow in the office of Maryland House Delegate Brooke Lierman. In this role, Madeleine conducted in-depth health policy research, drafted policy briefs and op-eds, and contributed to the formulation of state and local public health legislation. As an Analytics Consultant at Axia Women’s Health, Madeleine performed quantitative and qualitative research analyses on health indicators and clinical outcomes within Axia’s patient population and used predictive modeling to help inform Axia’s business growth strategy. Madeleine also previously served as the Midwest Outreach Director for the US Global Leadership Coalition (USGLC), where she worked with federal and state lawmakers to strengthen and advance US foreign policy. Prior to the USGLC, Madeleine worked at the Bill and Melinda Gates Foundation where she served as a Program Assistant on the Global Policy and Advocacy team.
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This was the follow-up Meetup: Navigating PD Fluid Post Hurricane Helene – an open dialogue for peritoneal dialysis providers facilitated by the RHA Home Therapies Committee. The conversation continued our efforts to support the community, provided a platform to discuss ongoing challenges, share new insights, and explore solutions for managing home therapy amid these supply issues.
This was the follow-up Meetup: Navigating PD Fluid Post Hurricane Helene – an open dialogue for peritoneal dialysis providers facilitated by the RHA Home Therapies Committee. The conversation continued our efforts to support the community, provided a platform to discuss ongoing challenges, share new insights, and explore solutions for managing home therapy amid these supply issues.
Presented November 2024
Stacy Vice
Vice President of Clinical Quality and Compliance
Rendevor Dialysis
Stacy is a registered nurse with over 23 years of experience in nephrology leadership. Throughout her tenure in nephrology, she has held many roles including Regional Clinical Director, Implementation Director, and National Director of Clinical Quality. Currently she serves as Vice President of Clinical Quality and Compliance with Rendevor Dialysis. Within this position she oversees clinical and regulatory compliance, clinical performance, the creation and maintenance of clinical documentation and liaison of the company's network of medical directors. Stacy serves on the board of the Renal Healthcare Association and is an active member of the Membership engagement, Home therapies, Education, Quality and Advocacy committees.
Peggy Bushey, BSN, RN, CDN
Accreditation & Regulatory Coordinator
UVM Health
Currently an Accreditation and Regulatory Coordinator supporting the dialysis department at University of Vermont Medical Center in Burlington, VT. Peggy has been working in the dialysis field for 24 years, with most recent focus on home program development. Her past nursing experiences include ICU and Correctional Nursing and she has also served as a nurse in the Army Reserves and National Guard retiring as a Major. Peggy has been a member of the CDC Dialysis Coalition since its inception in 2009. She also serves on the board of the Renal Healthcare Association (formerly NRAA) and is an active member of their Home Dialysis Task force and Quality Committee.
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Health equity is all the buzz, and for good reason – it is the new foundation for CMS and a priority to strengthen its infrastructure for assessment and remove barriers to CMS-supported programs. Beginning in 2025, dialysis facilities will need to attest to compliance with 5 key domains, showing a commitment to health equity practice and implementation. Join the conversation and share best practices, tools, tips, and tricks surrounding compliance with this new framework.
Health equity is all the buzz, and for good reason – it is the new foundation for CMS and a priority to strengthen its infrastructure for assessment and remove barriers to CMS-supported programs. Beginning in 2025, dialysis facilities will need to attest to compliance with 5 key domains, showing a commitment to health equity practice and implementation. Join the conversation and share best practices, tools, tips, and tricks surrounding compliance with this new framework.
Presented November 2024Bridget Pfaff, MS
Clinical Operations Director
Gundersen Health
Bridget has a bachelor's degree in Microbiology and her Master's in Biology combined with 30 years of healthcare experience. She has been a pharmacy tech, pathology assistant and infection preventionist before transitioning to the director role. She has been in her current role as Clinical Operations Director at Gundersen Health for 12 years. Bridget currently supports Acute and Outpatient dialysis facilities, including a home program, Nephrology and other clinic departments for Bellin - Gundersen supporting patients in Wisconsin, Iowa, Minnesota and Michigan. She has been a volunteer for numerous RHA committees, but education and program planning are her favorite!
Becky Berg, MBA, BSN, RN, CDN
Dialysis Director
Sanford Health
Becky Berg is a native of North Dakota and is currently living in Thief River Falls MN. She has 3 very active kids who keep her busy year round. She has worked as a dialysis floor nurse, charge nurse, unit manager and now regional Dialysis Director for Sanford Health. She is currently co-chair of both the Education and Quality Committees. She created the 2018 version of the RHA QAPI tool and is currently working with a Task Force to create an updated tool. She joined the RHA Board of Directors last fall.
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This was the follow-up Meetup: Navigating PD Fluid Post Hurricane Helene – an open dialogue for peritoneal dialysis providers facilitated by the RHA Home Therapies Committee. The conversation continued our efforts to support the community, provided a platform to discuss ongoing challenges, share new insights, and explore solutions for managing home therapy amid these supply issues.
This was the follow-up Meetup: Navigating PD Fluid Post Hurricane Helene – an open dialogue for peritoneal dialysis providers facilitated by the RHA Home Therapies Committee. The conversation continued our efforts to support the community, provided a platform to discuss ongoing challenges, share new insights, and explore solutions for managing home therapy amid these supply issues.
Presented October 2024Stacy Vice
Vice President of Clinical Quality and Compliance
Rendevor Dialysis
Stacy is a registered nurse with over 23 years of experience in nephrology leadership. Throughout her tenure in nephrology, she has held many roles including Regional Clinical Director, Implementation Director, and National Director of Clinical Quality. Currently she serves as Vice President of Clinical Quality and Compliance with Rendevor Dialysis. Within this position she oversees clinical and regulatory compliance, clinical performance, the creation and maintenance of clinical documentation and liaison of the company's network of medical directors. Stacy serves on the board of the Renal Healthcare Association and is an active member of the Membership engagement, Home therapies, Education, Quality and Advocacy committees.
Peggy Bushey, BSN, RN, CDN
Accreditation & Regulatory Coordinator
UVM Health
Currently an Accreditation and Regulatory Coordinator supporting the dialysis department at University of Vermont Medical Center in Burlington, VT. Peggy has been working in the dialysis field for 24 years, with most recent focus on home program development. Her past nursing experiences include ICU and Correctional Nursing and she has also served as a nurse in the Army Reserves and National Guard retiring as a Major. Peggy has been a member of the CDC Dialysis Coalition since its inception in 2009. She also serves on the board of the Renal Healthcare Association (formerly NRAA) and is an active member of their Home Dialysis Task force and Quality Committee.
Becky Berg, MBA, BSN, RN, CDN
Dialysis Director
Sanford Health
Becky Berg is a native of North Dakota and is currently living in Thief River Falls MN. She has 3 very active kids who keep her busy year round. She has worked as a dialysis floor nurse, charge nurse, unit manager and now regional Dialysis Director for Sanford Health. She is currently co-chair of both the Education and Quality Committees. She created the 2018 version of the RHA QAPI tool and is currently working with a Task Force to create an updated tool. She joined the RHA Board of Directors last fall.
Bridget Pfaff, MS
Clinical Operations Director
Gundersen Health
Bridget has a bachelor's degree in Microbiology and her Master's in Biology combined with 30 years of healthcare experience. She has been a pharmacy tech, pathology assistant and infection preventionist before transitioning to the director role. She has been in her current role as Clinical Operations Director at Gundersen Health for 12 years. Bridget currently supports Acute and Outpatient dialysis facilities, including a home program, Nephrology and other clinic departments for Bellin - Gundersen supporting patients in Wisconsin, Iowa, Minnesota and Michigan. She has been a volunteer for numerous RHA committees, but education and program planning are her favorite!
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Due to the recent closure of Baxter's North Cove, NC facility following Hurricane Helene and the subsequent flooding, there are significant supply challenges and potential shortages of peritoneal dialysis (PD) solutions. Baxter has issued immediate product management and conservation actions to address this situation, with a focus on ensuring patient safety and maintaining effective treatment for those currently undergoing peritoneal dialysis. The Meetup: Navigating PD Fluid Post Hurricane Helene - was an open dialogue for peritoneal dialysis providers facilitated by the RHA Home Therapies Committee to support our community during this challenging time. This session provided a platform to discuss challenges and share solutions for managing home therapy amid these supply issues.
Due to the recent closure of Baxter's North Cove, NC facility following Hurricane Helene and the subsequent flooding, there are significant supply challenges and potential shortages of peritoneal dialysis (PD) solutions. Baxter has issued immediate product management and conservation actions to address this situation, with a focus on ensuring patient safety and maintaining effective treatment for those currently undergoing peritoneal dialysis.
The Meetup: Navigating PD Fluid Post Hurricane Helene - was an open dialogue for peritoneal dialysis providers facilitated by the RHA Home Therapies Committee to support our community during this challenging time. This session provided a platform to discuss challenges and share solutions for managing home therapy amid these supply issues.
Presented October 2024Stacy Vice
Vice President of Clinical Quality and Compliance
Rendevor Dialysis
Stacy is a registered nurse with over 23 years of experience in nephrology leadership. Throughout her tenure in nephrology, she has held many roles including Regional Clinical Director, Implementation Director, and National Director of Clinical Quality. Currently she serves as Vice President of Clinical Quality and Compliance with Rendevor Dialysis. Within this position she oversees clinical and regulatory compliance, clinical performance, the creation and maintenance of clinical documentation and liaison of the company's network of medical directors. Stacy serves on the board of the Renal Healthcare Association and is an active member of the Membership engagement, Home therapies, Education, Quality and Advocacy committees.
Peggy Bushey, BSN, RN, CDN
Accreditation & Regulatory Coordinator
UVM Health
Currently an Accreditation and Regulatory Coordinator supporting the dialysis department at University of Vermont Medical Center in Burlington, VT. Peggy has been working in the dialysis field for 24 years, with most recent focus on home program development. Her past nursing experiences include ICU and Correctional Nursing and she has also served as a nurse in the Army Reserves and National Guard retiring as a Major. Peggy has been a member of the CDC Dialysis Coalition since its inception in 2009. She also serves on the board of the Renal Healthcare Association (formerly NRAA) and is an active member of their Home Dialysis Task force and Quality Committee.
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Contains 3 Component(s), Includes Credits Recorded On: 09/26/2024
In recent years, dialysis centers and associated providers have found themselves increasingly under the regulatory microscope. Whistleblower lawsuits, Medicare program integrity investigations and private payor audits have increased in 2024 and are expected to further expand in 2025. During this session, we will discuss the current health care fraud and abuse landscape facing dialysis centers and providers and go oversteps that your organization can take to reduce its level of regulatory, billing and coding risk. CE Credit: 1.00 | Post-Webinar Survey Required
In recent years, dialysis centers and associated providers have found themselves increasingly under the regulatory microscope. Whistleblower lawsuits, Medicare program integrity investigations and private payor audits have increased in 2024 and are expected to further expand in 2025. During this session, we will discuss the current health care fraud and abuse landscape facing dialysis centers and providers and go oversteps that your organization can take to reduce its level of regulatory, billing and coding risk.
CE Credit: 1.00 | Post-Webinar Survey Required
Presented September 2024Robert W. Liles, JD, MBA, MS
Liles Parker, Attorneys & Counselors at Law
In addition to a law degree, he holds both an M.B.A. and an M.S. in Health Care Administration. Robert has worked on the provider side (in hospital administration), as a federal prosecutor and now represents health care providers and suppliers around the country in connection with Medicare, Medicaid and Private Payor audits / investigations. While working as a Federal prosecutor, Robert was asked to serve as the country’s first National Health Care Fraud Coordinator for the DOJ's Executive Office for U.S. Attorneys. In this capacity, he advised Federal prosecutors around the country regarding health care fraud statutes, schemes, investigative tools, privacy concerns, and compliance issues.
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