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February 2020 Town Hall With End-Stage Renal Disease (ESRD) Outreach, Communication, and Training (EOCT) Team February 20, 2020–2 PM to 3 PM ET

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Page 1: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

February 2020 Town HallWith End-Stage Renal Disease (ESRD) Outreach,

Communication, and Training (EOCT) Team

February 20, 2020–2 PM to 3 PM ET

Page 2: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

2

Submitting Questions

Type questions in the “Q&A” section, located to the right of your screen.

Send all Q&A questions to “All Panelists”

Note: Some questions may require additional research. Unanswered questions may be submitted to

[email protected].

Page 3: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

3

Today’s Host and Presenter

P. Nicole Crenshaw, MPAESRD Lead & Business Analyst, FAC-COR II

Oniel Delva, MS, CTT+Communications Director

Note: Data used in this presentation is fictitious.

Page 4: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

Latest News and Reminders

Page 5: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

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Clinical Closures

• Clinical Closures apply to all Collection Types.• Clinical data submission applies to all submission

methods.

Clinical Month(s) Date of Closure for Clinical Submissions

December 2019 March 2, 2020 at 11:59 PM PT

January 2020 March 31, 2020 at 11:59 PM PT

February 2020 April 30, 2020 at 11:59 PM PT

NOTE: Clinical Depression Screening reporting for the January 1, 2019 –December 31, 2019 Assessment Period ends March 2, 2020 at 11:59 PM PT.

Page 6: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

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CMS-2728/CMS-2746 Guidance

Page 7: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

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Training Materials Available

Reminder: The following materials are available via the CROWNWeb Training Videos page on www.MyCROWNWeb.org:• Medication Reconciliation Training• In-Center Hemodialysis Consumer

Assessment of HealthcareProviders and Systems (ICHCAHPS) Attestation and ClinicalDepression Screening Training

https://mycrownweb.org/educational-videos/med-reconciliation-training/

https://mycrownweb.org/educational-videos/ich-cahps-and-clinical-depression-screening-follow-up-training/

Page 8: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

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ICH CAHPS Attestation ReminderFacilities with fewer than 30 eligible in-center hemodialysis patients during calendar year 2018:• Were exempt from administering the ICH CAHPS survey

during calendar year 2019.• Should attest to that exemption in the ESRD Quality Reporting

System (EQRS) by 11:59 PM PT on March 2, 2020.

Page 9: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

9

EQRS System Maintenance and HARP Go Live

EQRS will be unavailable due to system maintenance from 8:00 P.M. EST on Friday, February 21, 2020 until

8:00 A.M EST on Monday, February 24, 2020.

• Effective February 24, 2020, HARP credentials will be required to access the EQRS application. Access the EQRS application at https://eqrs.cms.gov/globalapp.

• HARP is a new account registration application that is replacing the Enterprise Identity Data Management (EIDM) system.

Page 10: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

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• All EQRS users must complete a HARP account setup.– CMS automatically migrated existing EIDM accounts and user

roles to HARP. To complete the migration, users must:• Log in to HARP via https://harp.qualitynet.org/login/.• Register a two-factor authentication device.• Select a Challenge Question.

– Non-EIDM users can register for a new HARP account. • HARP resources including training materials, Quick Start

Guides, Frequently Asked Questions, and instructional videos can be found on MyCROWNWeb.org at https://mycrownweb.org/harp-training/.

• The QualityNet Service Desk is available to provide assistance and answer questions at email: [email protected], phone: 1-866-288-8912.

REMINDER: HARP Account Needed for EQRS Users

Page 11: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

Completing the 2019 CMS-2744 Annual Survey

Page 12: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

What is the Annual ESRD Facility SurveyCMS-2744?

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The Annual ESRD Facility Survey is:

• A CMS Office of Management and Budget reporting requirement for all ESRD facilities and Transplant Centers to provide information to CMS

• Designed to collect ESRD dialysis facility (2744-A) and Transplant Center (2744-B) information regarding:– Patient Census– Treatment Records– Staffing Records

• The information is used to assess and evaluate the local, regional and national levels of medical and social impact of ESRD care and is used extensively by researchers and suppliers of services for trend analysis.*

*Federal Register Vol. 75, No. 48 March 12, 2010

Page 13: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

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What Is Included on a CMS-2744?

2744-ADialysis Facilities

• Beginning Patient Count• Additions• Losses• Ending Patient Count• Medicare Status• Number of Treatments In-Center and Other• Vocational Rehabilitation Information• Staffing• Facility Information

2744-BTransplant Facilities• Number of Transplant Patients• Medicare Status• Number of Transplants• Transplant Wait List Count

Page 14: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

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CMS-2744A

Page 15: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

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CMS-2744 Instructions:

CMS-2744A: Field 36 and Field 37

https://www.cms.gov/Medicare/End-Stage-Renal-Disease/ESRDGeneralInformation/downloads/facilitysurvey5b3.pdf

Page 16: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

CMS-2744B

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Page 17: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

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Getting Started

• Facilities initiate the CMS-2744 completion process in CROWNWeb, by generating a form and submitting it for acceptance by the Network.

• The CMS-2744 form goes through various stages before it is complete. Facilities must monitor their forms’ status.

• The form is complete once it is in a “FINALIZED” status.

Page 18: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

REJECT

CMS-2744 Flow• ESRD Networks have local submission deadlines to help ensure

that CMS-2744 forms are “FINALIZED.”• The facility generates and submits the CMS-2744 form to the

Network for review. The Network rejects the CMS-2744 if thereare errors or accepts the form if there are none, and submits it toCMS.

Network Responsibility

Facility Generates

2744

Facility Edits/Corrects

2744 and Submits

Network Accepts or

Rejects 2744ACCEPT

Network Finalizes the

2744

Network Submits Signed

Attestation to CMS

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Page 19: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

Generate and Save a CMS-2744

Page 20: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

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Click the Form 2744 Tab

Page 21: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

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Click Add New 2744

Page 22: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

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Confirm Facility DBA Name, Select 2019Click Add

Page 23: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

Top of Blank CMS-2744

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Page 24: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

Enter Treatment and Staffing as of 12/31/2019 Click Save

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Page 25: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

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Click Generate

Page 26: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

Top of a Generated CMS-2744

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Page 27: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

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Bottom of a Generated CMS-2744Click Print

Page 28: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

CMS-2744 PDF

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Page 29: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

Summary – Generate and Save a CMS-2744

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1. Click the Form 2744 tab.2. Click Add New 2744.3. Select Facility DBA Name and Survey Year and then

click Add.4. Enter Treatment and Staffing information and then

click Save.5. Click Generate.6. Click Print.

Page 30: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

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Pop Quiz

Are home Peritoneal Dialysis (PD) treatments counted on the CMS-2744 form?

YesNo

Page 31: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

CMS-2744 Reports

Page 32: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

Common Causes of Error Messages

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• CMS-2744 data is pulled from the following screens in CROWNWeb: Facility Details

Admit/Discharge

Treatment Summary

Patient Attributes

• Errors display due to invalid or missing data.

• Error messages are removed after users correct the data, and “re-generate” their CMS-2744 forms.

• Errors must be resolved before a form can be accepted.

Page 33: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

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Click the Form 2744 Tab

Page 34: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

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Enter Desired Survey Year Click Search

Page 35: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

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Click the 2744 ID

Page 36: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

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Select Desired Report

Page 37: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

Summary – Accessing CMS-2744 Reports

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1. Click the Form 2744 tab.2. Enter desired Survey Year and then click

Search.3. Click the desired Survey Year ID.4. Click the Report Name.

Page 38: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

CROWNWeb CMS-2744 Reports

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1. Additions During Survey Period Report2. Patient Eligibility Status Report3. Patients Receiving Care at End of Survey

Period Report4. Patients Hemodialyzing More Than 4 Times

Per Week Report5. Vocational Rehabilitation Report

Page 39: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

Example of CMS-2744 Reports

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Page 40: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

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Resolving CMS-2744 Errors

Get step-by-step instructions on how to resolve CMS-2744 errors by going to the CROWNWeb Online Help system.

https://mycrownweb.org/assets/crownweb/index.htm

Page 41: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

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Pop Quiz

Who do you contact if you need assistance with resolving errors on your CMS-2744 form?

EOCTESRD NetworkCMS

Page 42: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

Submit a CMS-2744

Page 43: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

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Click the Form 2744 Tab

Page 44: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

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Enter the Desired Survey Year,Click Search

Page 45: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

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Click the Desired Survey Year ID

Page 46: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

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Click Submit For Acceptance

Page 47: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

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Confirmation Dialog Box,Click Yes

Page 48: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

Form 2744 Has Been Successfully Submitted

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Page 49: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

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Monitor CMS-2744 StatusClick Form 2744 Tab

Page 50: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

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Click Status Change Updates

Page 51: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

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Click ID if RequiredFinal - When the facility submits a final version of the CMS-2744 form for acceptance.

Accepted - The Network accepts the final version from the facility for approval.

Rejected - The Network rejects the CMS-2744 form and returns it to the facility for further updating.

Finalized - The Network approves the CMS-2744 form.

Reopened - CMS does not accept the finalized version from the Network and it is returned to the facility for further review.

Page 52: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

Form 2744 Finalized

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Page 53: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

1. Click the Form 2744 tab.2. Enter the desired Survey Year and then click Search.3. Click the desired Survey Year ID.4. Click Submit for Acceptance.5. Click Yes.

Summary – Submit a CMS-2744

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Page 54: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

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Questions

Page 55: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

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Thanks for Attending!

Our next Town Hall Event will be held on March 26, 2020.

Time: 2 PM – 3 PM ET

Topic: EQRS/CROWNWeb Data Management: First Quarter Requirements

Page 56: February 2020 Town Hall - MyCROWNWeb€¦ · 02/02/2020  · ESRD Lead & Business Analyst, FAC -COR II. Oniel Delva, MS, CTT+. Communications Director . Note: Data used in this presentation

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For Further Information…

Help Me Form: http://help.MyCROWNWeb.org

Website: http://www.MyCROWNWeb.org

QualityNet Service Desk: 1-866-288-8912

QualityNet Service Desk Email: [email protected]

ESRD QIP Questions: ESRD QIP ServiceNow Q&A Tool

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