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Information Management Data Manual
Source: www.esrdnetworks.org
Topic: Information Management
Sort Desciption: Information Management Data Manual ESRD Network 4 Inc. 40 24th Street Suite 410 Pittsburgh PA 15222 Main Phone Number: (412) 325-2250 Fax Number: (412) 325-1811 Contract Number 500-03-NW04 Date ...
Content Inside: Information Management Data Manual ESRD Network 4 Inc. 40 24th Street Suite 410 Pittsburgh PA 15222 Main Phone Number: (412) 325-2250 Fax Number: (412) 325-1811 Contract Number 500-03-NW04 Date last modified: February 8 2006 Table of Contents Introduction. 1 Meet the Information Management Staff. 1 ESRD Medical Evidence Report (CMS-2728) . 2 ESRD Death Notification Form (CMS-2746). 3 ESRD End of Year Facility Survey (CMS-2744) . 4 National Clinical Performance Measures (CPM) Project Forms (CMS-820 and CMS-821). 5 Monthly Patient Activity Reports (MPARs). 5 Missing Forms Report. 6 Quarterly Patient Roster. 6 ESRD Forms Submission Compliance Rates. 6 Rejected Forms - Current Rejects. 6 Transplant Centers Responsibility. 7 VISION Responsibility. 7 Network 4 Information Management Data Manual -- Page 1 Introduction Network 4 utilizes an automated data processing (ADP) system designated by the Centers for Medicare & Medicaid Services (CMS). The Network utilizes the ADP systems designated by CMS to transmit and receive information electronically from CMS and the facilities. The Consolidated Renal Operations in a Web- enabled Network (CROWN) is the primary source of information to support CMS ESRD benefit determinations. This manual is designed to assist Medicare- approved facilities and their staff in completing both the Centers for Medicare & Medicaid Services and Network 4 required data collection forms. All Medicare-approved dialysis facilities are required to participate in Network activities including the submission of data. The Department of Veterans Affairs (VA) participates in Network activities and VA facilities submit all required forms to the Network. The Network uses information collected from renal-approved facilities to report to the Secretary of Congress CMS and the general public on the incidence and prevalence of ESRD in the Network area treatment and transplant patterns in the Network and patter ...
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