Updated 3/14/2023
The CMS-2746 Form (Death Notification) is required by CMS to be submitted in EQRS within 14 days of the patient's date of death (DOD).
If you need to Submit the 2746 but have lost Scope of the patient (gone for more than 30 days):
- Find the UPI in EQRS
- Go to the Admit page --> Click on the Admit Date --> Delete the Discharge Date & Reason
- Return to the Patient Demographics page --> Click Edit
- Scroll down to the Medical Info section --> Add Date of Death/Cause of Death
- ****The Effective Date needs to be the SAME DATE as the DOD***
- Check the Admit page to make sure that the Discharge info reappears
- Edit the 2746 - the correct information should now appear
COVID-19 Codes:
Form 2746 Death Code | ICD 10 Code | Description | Additional Information |
105 | U07.1 | COVID19 | https://www.cdc.gov/nchs/data/icd/COVID-19-guidelines-final.pdf |
106 | U07.2 | COVID19 Unconfirmed |
The list of ESRD Death Codes can be found on page 2 of the 2746 Form:
https://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/downloads/CMS2746.pdf
Updated