Network 6
Mission Statement:
To improve the lives of people with or at risk for End Stage Renal Disease by promoting and advancing quality of care.
New Facility Information
The Southeastern Kidney Council staff would like to welcome you as a new facility in our Network 6 area. As an organization, Network 6 promotes the quality of care for all patients. We support renal care providers and dialysis and transplant patients by providing helpful information and technical assistance as directed by the Centers for Medicare & Medicaid Services (CMS).
As part of our Network, you will need to complete the Provider Information Form below and return a copy to Network 6. Below are the links to important documents and information, that your facility will use for future reference. Please review and utilize the following information provided below. If you need additional assistance, please contact Jana Lemacks at our Network office at (919) 855-0882, ext 10.
- Annual Report Notification
- Provider Information Form (Complete and Return to SKC)
- CROWNWeb QIPS Registration Form Flyer
- CMS Publications Website (Instructions)
- CMS Data Forms (Blank Copies)
- 2728/2746 Release Authorization Form
- What Can I Do If I Have a Complaint? (English)
- What Can I Do If I Have a Complaint? (Spanish)
- 2010 Education Calendar
- Decreasing Dialysis Patient-Provider Conflict (DPC) Toolbox
Network 6 will be mailing your facility a few other resources that are not available on our website. The following resources/documents will be mailed to your facility, to help get you started:
- Network 6 All Hazards Series: Disaster Preparedness Packet
- Southeastern Kidney Council/State Surveyor Poster (will be mailed in a tube)
- ESRD Education “Get Hooked”! Poster (small version and large version)
- Decreasing Dialysis Patient-Provider Conflict (DPC) Toolbox
- 2010 Education Calendars (10 copies)
**Please research the Network 6 website for other helpful references regarding Data Forms, Patient Services, and Educational Resources.**
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