Nursing

• CKD Checklist -> Referred date -> Close
• GFR <25: CKD basics & Modality Ed.
• GFR <15: Urgent
• FMC Virtual Registration Link: FMC Virtual CKD Education Class

• Take a screen shot of patient's information from Epic
• Send in Google Chat Chronic Care Management Group
• Provide patient's name, DOB, and reason for CCM

• Patient's name, DOB, phone number, address
• Under notes - put appointment information
• Mark "Renal Ultrasound" -> Mark "Stage" -> Fill in G__ A__
• Schedule appointment, put on calender, call patient, fax (add location of ultrasound & fax number at the top of the order

• Look up insurance to figure out where to refer
• Call location to schedule appointment
• Add patient to calendar
• Call patient
• If the location is Baptist affiliated, we do not need to fax
• Put in a "telephone call" note

• 620 Skyline DrJackson, TN 3830; call 731-541-7869 to schedule
• send note to 731-421-0412
• CPT code 50200
• Jackson General NPI 1093705428
• TKE NPI 1225529142
• TKE TaxID 830680862
• Dx proteinuria R80.9
• Dx hematuria R31.9
• Family Hx Z84.1 (disease of kidney/ureter) 

• Fill out form and fax with face sheet
• send last office note
• screenshot patient information and send in Google Chat Ascension Saint Thomas Transplant Group

Anemia Clinic

Diabetes

Urology

Cardiology

Renal Ultrasound

Self Pay

Transplant Centers Used by TKE