International patients should be tracked in CROWNWeb to allow them to be admitted to and treated at an ESRD facility. Below are some additional guidelines regarding international patients:
- International patients need to use an address from within the U.S. because their address more than likely doesn’t fit CROWNWeb’s format. It does not matter if they get a P.O. Box, a family member’s address who lives in the U.S., or use the facility’s address (note that no mail will be sent to that address).
Per CMS directive, international patients that are receiving outpatient dialysis care within the US for the first time are to be admitted a facility as New ESRD Patient. Below is a screenshot of a CMS presentation validating this.
- Since these patients probably don’t have SSNs, you would check the SSN N/A check box and the Medicare Claim Number N/A check box. For the Medicare Enrollment field, you would select No Medicare Coverage
- For international patients that are admitted as a New ESRD Patient, a CMS-2728 would be completed. This form gives CMS permission to track the patient’s care. The 2728 is not just for Medicare benefits; it also serves as the ESRD patient registry form (regardless of benefits).
- When completing the 2728, enter that the patient is Not Applying for Medicare.
- If the patient does not bring any lab data with them, draw labs during their very first treatment at your facility. That will allow the CMS-2728 to be submitted in CROWNWeb. Please make a note on the form in the remarks section that the patient started dialysis in another country on the appropriate date.
- The rest of the admits/discharges after the first record would be Transfers.
- You need to contact the Network to admit them as there is no SSN for these patients. The Network will use a dummy SSN to admit these patients as a transfer in to your facility. They would not be considered Transients. Transients should only be attached to a U.S. Medicare-certified facility who may visit other U.S. Medicare-certified facilities.
- For international patients who have visited your facility in the past and may continue to come to your facility off-and-on, the facility should have ALL of those admits/discharges entered in CROWNWeb.