CMS-2744 Annual ESRD Facility Survey Completion Process

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March 1, 2022
At the start of each calendar year, the Centers for Medicare & Medicaid Services (CMS) requires that all Medicare-certified dialysis and transplant facilities complete the CMS-2744 survey. This survey provides a final count of all patients and treatments provided by a dialysis or transplant facility during the prior calendar year. It also includes important facility and patient demographic information, such as Medicare coverage, vocational rehabilitation, and facility staff counts.

Facility representatives begin the CMS-2744 survey completion process in the End Stage Renal Disease (ESRD) Quality Reporting System (EQRS) by generating a CMS-2744 survey and submitting it to their ESRD Network for review. Prior to submitting the survey to the Network, facilities must review all survey information for accuracy and correct any identified errors. Additionally, to verify that the auto-populated data on the survey is correct, dialysis and transplant facilities can view and download various reports available on the View Facility Form 2744 screen, as displayed in the example screenshot below. Lastly, once a facility submits the survey to their ESRD Network for review, they must monitor their forms’ status in EQRS and work with their ESRD Network to finalize the forms.

CMS-2744 Annual Facility Survey Screenshot, highlighting the main areas of the screen: Patients Receiving Care Beginning of Survey Period, Additions During Survey Period, Losses During Survey Period, End of Survey Report.

Dialysis and transplant facilities must comply with the deadline established by their local ESRD Network for submitting the CMS-2744 survey in EQRS. To locate your ESRD Network contact information, use this link: https://esrdncc.org/en/ESRD-network-map/.

For instructions on how to complete the CMS-2744 survey, refer to the CMS-2744 form that is downloadable from the CMS.gov website here: https://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/CMS-Forms-Items/CMS009579. For additional information on how to complete the CMS-2744 survey, refer to the 2021 CMS-2744 Training Aid that is available on the Education page on MyCROWNWeb.org.

Please note: Facilities need to follow guidance provided by their ESRD Network and organization, prior to initiating the CMS-2744 Annual Facility Survey, as some organizations may have their surveys completed at the corporate level.

If you are having technical issues with accessing the EQRS user interface, please contact the QualityNet Service Center. The QualityNet Service Center is open Monday-Friday 8 a.m. to 8 p.m. Eastern Time and can be reached via phone at: (866) 288-8912 or via email at: qnetsupport-esrd@hcqis.org.