2728, 2746 and 2744 Forms

Dialysis Facility CMS-2744 Form Instructions & Training
Medicare-certified facilities are required to complete the CMS Annual Facility Survey (Form 2744) each year.  The 2744 collects admits, discharges, treatme...
Tue, Mar 29, 2022 at 3:31 PM
CMS-2728 Submission Guidelines
The CMS-2728 Form is required by CMS for patient entitlement to Medicare benefits based on End Stage Renal Disease (ESRD). There are three type of scen...
Wed, Aug 4, 2021 at 10:14 AM
CMS-2746 Form COVID-19 Death Codes
CMS has added death codes to the CMS 2746 form specifically to capture deaths related to COVID-19.  The new codes are Form 2746 Death Code ...
Wed, Aug 4, 2021 at 10:39 AM
CMS-2746 Submission Guidelines
The CMS-2746 Form is a one-time form required by CMS when a dialysis patient dies.  The purpose of the form is to notify Medicare of the date ...
Mon, Aug 2, 2021 at 3:51 AM
2728 Form Instructions
All patients admitted into EQRS with an Admit Reason of 'NEW ESRD' need to have a 2728 (End Stage Renal Disease Medical Evidence Report Medicare E...
Fri, Feb 18, 2022 at 10:52 AM
Transplant Center CMS-2744 Form Instructions & Training
Medicare-certified transplant centers are required to complete the CMS Annual Facility Survey (Form 2744) each year. The 2744 collects transplant counts, do...
Mon, Feb 28, 2022 at 6:47 PM