Dialysis Patients being discharged with no appeal, no assistance from CMS & ESRD

Thursday, September 19, 2013 | By Scott | 1 Comment

Sent: Tuesday, August 20, 2013 12:21 PM
To: Conway, Patrick H. (CMS/CCSQ)
Subject: Patients being discharged with no appeal.

Dr. Conway,

I have tried to reach you in the past. It appears that there is a trend, that has been going on for years. It has been allowing dialysis units to discharge patients for no cause, even with creative paperwork to discharge the patient unfairly. Then when a patient is discharged the patient is blackballed at any other clinic, denying them entrance. A patient is denied a transplant and used as a payback, by labeling them non-compliant…without the patients knowledge..It is a nightmare to be a patient on dialysis.

CMS promised me that they were not going to allow anymore discharges of patients unless they are violent. These Nephrologists are now dismissing them, because they can. I am getting a record number of discharges myself.

I have one currently in Nashville and have contacted CMS at the highest levels. This patient was dismissed from a Nephrologist from Vanderbilt Medical University, a co-director of Nephrology Clinical trials. Which receives Federal dollars. He is partners with Davita.

These are just some of the discharged patients that are recent, with CMS sitting on their hands. I will not insult you with the fact that the ESRD Networks are the main players in these discharges and provide the legal way to “dump” a patient. I thought they were for quality of care of the patients.

Patients speaking out on care are fearful of retaliation.

Patients discharged have no appeal process and die. CMS has been contacted on every discharge and has sat by and did nothing.

Patients are not allowed to see their charts in many clinic…

If your interested the information is below on how to reach me. I also would invite you to go on www.dialysisadvocates.com and go to patient stories and the news with the radio interviews of patients. This industry has been allowed to do pretty much as it pleases, CMS standing by silent. This is not about healthcare and the money for patient care is going to industry “bonuses”.

I am seeking help for patients getting quality of care and to have rights in these clinics. I have done thousands of complaints, with no help from CMS. It is about time to ensure patients have rights with qualified workers. It is getting where my caseload with discharged patients and abusive practices are on the rise.

Another trend is that we have had patients have full fledged strokes in clinics and the staff will not call 911, but will call the family. Infection control is another area that is costing lives and medicare money. They simply have them go to the ER for care and they are infection free.

Respectfully,
Arlene Mullin-Tinker
Dialysis Advocates LLC

Download their reply, it isn’t very comforting.

CMS_Response-09-16-13

1 Comment to Dialysis Patients being discharged with no appeal, no assistance from CMS & ESRD

  1. September 19, 2013, by pizap

    This site was… how do I say it? Relevant!!
    Finally I have found something that helped me.
    Thank you!

Leave a Reply

Fill out below CAPTCHA to submit comment: *

By submitting a comment here you grant Dialysis Advocates a perpetual license to reproduce your words and name/web site in attribution. Inappropriate or irrelevant comments will be removed at an admin's discretion.