CMS SOM App. H, Tag V599

continuity of care and patient privacy. This includes items and services furnished by

durable medical equipment (DME) suppliers referred to in § 414.330(a)(2) of this chapter.

Interpretive Guidance § 494.100(c)(2):

The facility must maintain a centralized recordkeeping system for home dialysis patients, which

includes documentation of patient assessments and plans of care, training and competency

verification, patient monitoring, and records of machine and water treatment/dialysate delivery

systems, the latter of which may be in a separate log.

Both the dialysis facility and DME supplier must have recordkeeping systems that are HIPAA-compliant and effective in assuring continuity of care. Concerns with patient privacy rules, e.g.

facility practice on who can and receive health information, identified during a Federal health

and safety survey will be referred to the Office of Civil Rights (OCR) for compliance review. The

regulations for DME suppliers at § 414.330(a)(2) require the DME supplier to report all data

for each patient regarding services and items furnished to the home patient to the supporting

ESRD facility every 45 days; thus, there should be no issue with the DME supplier providing

records within the 2 months allowed by these regulations.

Use this tag if deficient practices in the content or maintenance of home dialysis patients’

records are identified. For major issues related to the home patient records, refer to V731.