Federal Certification Requirements

The US Federal Centers for Medicare and Medicaid Services (CMS) is the branch of the government that reimburses dialysis clinics for the majority of the costs associated with long-term dialysis treatment. The CMS was assigned this responsibility many years ago because of the extreme costs associated with treatment and the inability of most patients to pay. In 2008, the CMS established new guidelines for compensation. The new rules for coverage must be followed in order for a facility to receive federal reimbursement.


The revised federal rules outlined in 42 CFR Part 494.140 are designed to focus on improving the care provided to patients. Federal requirements that are included in this legislation seek to establish up-to-date performance expectations for facilities, encourage patients to participate in their plan of care and treatment, eliminate the procedural requirements from the previous conditions for coverage, promote patient safety, and encourage continuous quality improvement. No changes to dialysis treatment regulations had been made since 1976 prior to the adoption of this updated legislation on October 14th, 2008. …Click Here to Continue Reading


NNCO Certification Exams

The highly regarded National Nephrology Certification Organization (NNCO) formed in 1998 for the sole purpose of advancing the professional standards of technicians. The NNCO accomplishes this task through the creation and the maintenance of criteria and procedures for certification. The NNCO also works closely with the Professional Testing Corporation (PTC) to ensure that the process meets the standards created by the National Organization for Competency Assurance and the American National Standards Institute.


The National Nephrology Certification Organization supports the idea that dialysis technicians should complete periodic certification as a form of credentialing. This process allows individuals to demonstrate competence in specialized areas of practice. The certification exams administered by the NNCO also meet the requirements adopted by the Centers for Medicare and Medicaid Services (CMS). Federal regulations mandate that all technicians become certified by either a validated state certification exam or a nationally recognized certification exam within 18 months of hire. The NNCO currently offers two certification exams including the Certification Examination in Clinical Nephrology Technology (CCNT) and the Certification Examination in Biomedical Nephrology Technology (CBNT). …Click Here to Continue Reading


BONENT Certification Exams

The Board of Nephrology Examiners Nursing and Technology is an organization that is recognized by the National Association of Nephrology Technicians (NANT). BONENT began offering exams to technicians in the early 1970s as an alternative to those being offered through the American Society of Extracorporeal Technology (AMSECT). Its members work to review and revise exams so that they reflect current standards and to ensure that one’s competency is accurately evaluated.


BONENT examinations are administered in many parts of the World including the United States, Singapore, Australia, Turkey, and New Zealand. The first examination offered through BONENT was the Certified Hemodialysis Technician (CHT) which remains the core credential offered to individuals working in the industry. Two additional exams including the Certified Hemodialysis Nurse (CHN) and the Certified Peritoneal Dialysis Nurse (CPDN) were added in later years. BONENT continues to depend heavily on its members for financial and administrative support. …Click Here to Continue Reading