Hey everyone, I'm Sarah Chris Turner and in this video, I'm going to be discussing chronic kidney disease, also known as chronic renal failure. This is part of our review series on the renal system. Don't forget to take the free quiz at the end of this video. Let's start by understanding what chronic kidney disease is. It refers to a significant decrease in renal function that occurs over a long period of time and is irreversible. In contrast, acute kidney injury, which we discussed in a previous lecture, is characterized by a sudden decrease in renal function that can be reversible if the underlying cause is identified and treated appropriately. Now, let's take a closer look at the kidney, specifically the nephron. The nephron is the functional unit of the kidney responsible for producing urine. Each kidney contains millions of nephrons. The glomerulus is the structure within the nephron that filters substances, such as water, ions (electrolytes), urea, and creatinine. Urea is a waste product from protein metabolism in the liver, while creatinine is a waste product from the breakdown of muscles. It's important to note that the glomerulus does not filter proteins and blood cells. If proteins or blood cells are found in the filtrate, it may indicate a dysfunction in the glomerulus or the renal tubules. After the filtration in the glomerulus, the filtrate travels to Bowman's capsule and then proceeds through the renal tubules. In the renal tubules, the goal is to maintain homeostasis by selectively reabsorbing the necessary substances. This includes reabsorbing the appropriate amount of water, a small amount of urea, and electrolytes. However, creatinine is not reabsorbed. Creatinine is a waste product that is fully filtered by the glomerulus from the bloodstream. It is not reabsorbed in the renal tubules. This is why creatinine levels are important in...
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Cms esrd bundle final rule Form: What You Should Know
Calendar Year 2023 End-Stage Renal Disease PPS — CMS Jun 21, 2023 — The ESD PPS provides a bundled, per-treatment payment to ESD facilities that includes all renal dialysis services furnished for outpatient ESD PPS Consolidated Billing — CMS May 18, 2023 — Medicare increases per-treatment payment for all outpatient dialysis for the duration of both the calendar year 2023 and the calendar year 2024 Calendar Year 2023 End-Stage Renal Disease Consolidated Billing — CMS Jun 21, 2023 — The ESD PPS provides a bundled, per-treatment payment to ESD facilities for all Dialysis Services for Elderly Patients and Persons With Disabilities Under the ESD PPS — CMS Feb 28, 2023 — Medicare includes dialysis services for elderly, blind, and disabled people in the list of qualifying procedures for the ESD PPS Calendar Year 2023 End-Stage Renal Disease PPS. — CMS Jan 30, 2023 — The Medicare payment rate for dialysis services for patients with no known kidney failure is increased to 85 percent of the rate to be paid under the ESD PPS Election Requirements The following information is not intended to be a substitute for the annual Medicare Part B premium rate schedule available on the CMS website ( ). A more complete description of the annual Part B premium rate schedule will be provided by the U.S. Office of Chief Actuary beginning in calendar year 2021. Each State must file an election form to use the CMS ESD PPS payment rates for 2018. Information on how to file an election form can be found at the CMS election process website. Information on whether a State plans to implement the premium increases under the ESD PPS for a particular year in each calendar quarter is provided in the State's notice of publication as of June 1, 2018. Publication by States — The states are provided with information on which to base their decision on whether to apply the ESD PPS premium rate increases for 2019. For the states not participating in the Part B open-enrollment enrollment period for 2019, additional information is provided below.
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