Dialysis · CMS CfC
CMS CfC §494. AAMI water. Pharmacy oversight, codified.
First-mover coverage of dialysis pharmacy oversight under 42 CFR Part 494. AAMI water quality, bicarbonate Rx tracking, anemia management, and modality change medication reconciliation.
42 CFR 494 + AAMI
Dialysis checks across V-tag scope
Greenfield first-mover on AAMI water quality + pharmacy oversight. Each rule cites the V-tag verbatim.
Rule coverage
The most comprehensive dialysis pharmacy rule pack on the market.
- AAMI water chemical analysis cadence (V201/V202)
- AAMI microbiological culture monthly (V252)
- AAMI water limit exceeded — CFU/EU (V178/V180)
- Bicarbonate Rx on file (V222-V234)
- IV iron protocol on file (V547/V549)
- Anemia program on file (V547)
- Modality change med rec on file (V582/V583)
- MBD labs in range
- ESA Hgb target range
- Vitamin D analog dose alignment
- Cinacalcet / etelcalcetide pairing
- Vascular access infection prophylaxis
- Hemodialyzer reuse oversight (§494.50)
AAMI water quality
Chemical analysis cadence (annual), microbiological monthly, limits enforcement (200 CFU/mL · 2 EU/mL).
Pharmacy oversight
Bicarbonate Rx, IV iron protocol, anemia program, modality change med rec — each anchored to a V-tag.
Water-quality + pharmacy oversight
We ship AAMI water-quality and pharmacy-oversight rules many legacy vendors classify as biomed scope.