CROWNWeb

 

 

Generate and Save a CMS-2744

 

Facility Editors, Network Patient Editors, CMS Editors and System Administrators can automatically generate the CMS-2744 form using the information in CROWNWeb.

You cannot delete the CMS-2744 form once you create it. Once submitted, the ESRD Network will review the CMS-2744 and accept it or reject it. The instructions for each field of the CMS-2744 can be obtained here (ESRD Facility Survey Instructions for Completion).

To generate and submit a CMS-2744:

  1. From the Home screen, click the Form 2744 link. The Search 2744 screen displays.
    Click here to view image
  2. Click the Add New 2744 link. The Add a New Form 2744 screen displays.
    Click here to view image
  3. Enter the information for your facility, then click Add. The Add 2744 for Facility XXXXX for Survey Year XXXX screen displays.
    Click here to view image
  4. Manually enter Treatment and Staffing Information, and then click Generate.
    Click here to view image
  5. CROWNWeb displays the message "Form 2744 - GENERATED". When CROWNWeb generates the CMS-2744, it automatically populates the patient portion with information in the database.
    Click here to view image
  6. Once the form is generated, scroll to the bottom of the screen and click Save. CROWNWeb displays the message "Form 2744 - SAVED."
    Click here to view image

Once you have generated and reviewed the CMS-2744, you must submit it to your ESRD Network (see: Submit a 2744 for Acceptanc









© 2018 Centers for Medicare and Medicaid Services