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-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
Updated 9/2/2022 The 2728 Form (END STAGE RENAL DISEASE MEDICAL EVIDENCE REPORT MEDICARE ENTITLEMENT AND/OR PATIENT REGISTRATION) Is required to add a p...
Fri, Sep 2, 2022 at 7:04 PM
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