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2 Housekeeping Please do the following: Mute your phone at all times to avoid background noise (press mute or *6) Keep electronic devices away from the phone Do not put the conference on hold If you have any questions, please type your question in the Question box. We will do our best to answer all of them. The slide presentation will be available on our Web site, by Friday, November 6. Thank you! Your consideration for your fellow participants is greatly appreciated!

3 The CMS 2744 Annual Survey is mandatory! We do not have a due date as of yet. Each Year, Medicare-certified dialysis facilities are required to complete the CMS-2744 Annual Facility Survey. Captures facility, treatment, and staffing data for the survey year (January 1 December 31) When completing the CMS-2744 Annual Facility Survey via CROWNWeb, facility representatives must select 2015 for the Survey Year.

4 PART (Patient Attributes and Related Treatment) This is a set of patient personal information and treatment history obtained from data entered on the Admit/Discharge, Patient Attributes, and Dialysis Treatment information screens. 3 key pieces of patient information: Admit/Discharge Current treatment information Current attending physician Verify every 30 days For each patient, you must view, verify, update (if necessary) and submit via the PART screen on a monthly basis to maintain accurate and up-to-date data.

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6 Reports and tools to help you: CROWNWeb gathers data from the Facility Details, Admit/Discharge, Treatment Summary, and Patient Attributes screens to populate most of the CMS-2744 form. The CMS-2744 form will present warning and error messages if the counts do not balance. Facilities can utilize CMS-2744 reports to determine where a correction may be needed.

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8 Click Add New 2744

9 Make sure this displays 2015

10 2015

11 Click on Generate. Anytime you make changes to the patient data, you MUST regenerate the annual survey.

12 Treatment: Field 36 Hemodialysis The total number of Incenter hemodialysis treatments during the survey year. This also includes home hemodialysis. Field 37 Other The total number of all other types of treatments (IPD, CAPD, and CCPD training) during the survey year. Only count the training days. Staffing (fields 38 41): The number of Full Time and Part Time staff positions (open and not filled) at your facility as of 12/31. *Treatments and Staffing must be entered manually!

13 After you generate your survey, click on SAVE. Check for Warning and Errors. When all errors have been reconciled, click on Submit for acceptance

14 How do I know if my Annual Survey was rejected? You can also choose: Draft Final Accepted Finalized Reopened 2015

15 Annual Survey 2744 Workflow Reject Facility Generates 2744 Facilty Edits/Corrects 2744 and Submits (Submit for acceptance) Network accepts or rejects 2744 The form is complete once it is in a Finalized status.

16 Errors you may see: The Total number of patients (field 26) must equal the sum of the patients receiving care at the beginning of the survey period (field 03) plus the additions during the survey period (fields 04A through 07B) minus the losses during the survey period (fields 08A through 13B). The total number of Medicare patients (fields 27, 28, 29) must equal the total number of patients (field 26). Warnings you may see: The total number of incenter patients receiving Other (CAPD/CCPD) dialysis treatments (field 37) may be too high. Please verify this total. This field should not be greater than 100.

17 2744 Warning Warning-the total number of patients receiving care at the beginning of this survey period (field 03) must equal the total number of patients receiving care at the end of the last survey period for this facility (field 26). Please enter a comment. This warning can be bypassed. Enter in comment field: Survey is correct and can be submitted.

18 2744 Error Error-The total number of patients attending school (field 35) cannot be greater than the total number of patients (field 26). The number of patients attending school (field 35) is incorrect. This is a glitch in CROWNWeb. Enter in comment field Survey is correct.

19 Thank you For questions and helpful tools. QualityNet Help Desk: Website: Data Department at The Renal Network

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