Notifying CMS of ESRD Status Tip Sheet

This guide provides essential information regarding the submission of Form 2728 for end-stage renal disease (ESRD) status notification to the Centers for Medicare & Medicaid Services (CMS). It outlines the necessary steps for healthcare providers to ensure timely payment for ESRD claims, emphasizing the importance of accurate and prompt submission of the form. The document specifies that claims must indicate either hemodialysis or peritoneal dialysis, or include hospital admission details for transplant services. It also details the requirement for providers to update the patient's ESRD status in the end-stage renal disease quality reporting system (EQRS). Additionally, the guide highlights the potential delays in claim processing due to incomplete submissions and provides instructions for verifying patient information. It mentions the onset add-on payment available for providers within 120 days from the ESRD onset date, along with the necessary procedures for submitting requests related to this payment. Overall, the document serves as a crucial resource for healthcare providers navigating the ESRD claims process.