Standing documents, standing file
Nephrology plan, vascular-access notes, standing prescription — assemble the annexure once, update on change, attach always. Rebuilding the justification per session is how sessions get queried at random.
Session-level truth
Each sitting needs its own timestamps, machine log, and consumable record. Batch-filed months with copy-pasted session notes are the pattern payers’ fraud screens are literally built to catch — honest units get flagged for lazy paperwork.
| Item | Standard | Consequence / owner |
|---|---|---|
| Standing annexure | Plan, access, prescription | Update on change only |
| Per-session record | Time in/out, machine, consumables | Every sitting |
| Authorisation block | Sessions remaining tracked | Renew at threshold |
| Monthly statement | Sessions vs authorisations reconciled | Billing |
| Transport / EPO extras | Scheme-specific coverage checked | Desk |
Scheme cycles differ
Government schemes authorise dialysis in blocks with renewal gates. Track the block, renew before exhaustion, and the patient never faces a session the system won’t cover.
What to do on Monday
- Assemble standing annexures for your chronic cohort.
- Add session timestamps to the dialysis register.
- Set renewal alerts at 80% block consumption.
Worked examples on this page are illustrative arithmetic on stated assumptions, not measured market statistics.