Whenever self-care dialysis training has been verified and the claim adjudicated (no
conflicting information), pursue no further verification of completion of the training
course. This is because if there is a significant increase in patients who fail to
self-dialyze, CMS questions the facility"s training program through their certification
process. However, CMS will not penalize the Medicare beneficiaries.
Based on the above reasons and for processing (adjudicative) uniformity, once the
qualifying period has been waived based on self-dialysis training, the waiver normally
is not reversed. (See DI 45001.015F.6.).