ESRD CMS-382 Form Attachment (57)

Purpose

This feature allows the user the capability to enter either a new CMS-382 form or a new method selection.

Claim and Attachments Entry Menu

Note: Per CR 7064, ESRD PPS was implemented 1/1/2011. This eliminated the need for beneficiaries to select either Method I or Method II dialysis. Providers no longer need to submit ESRD CMS-382 form.

Revised 6/19/2018