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DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICESForm Approved OMB No. 09380046END STAGE RENAL DISEASE MEDICAL EVIDENCE REPORT MEDICARE ENTITLEMENT AND/OR PATIENT REGISTRATION
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Centers for Medicare & Medicaid Services (CMS) is the federal agency that administers the Medicare program and works with state governments to administer Medicaid.
Healthcare providers who receive Medicare payments are required to file Centers for Medicare & Medicaid Services (CMS) forms.
Centers for Medicare & Medicaid Services (CMS) forms can be filled out electronically using the CMS website or through a third-party billing service.
The purpose of Centers for Medicare & Medicaid Services (CMS) forms is to report information about services provided to Medicare patients and to request payment for those services.
Centers for Medicare & Medicaid Services (CMS) forms require information such as patient demographics, services provided, dates of service, diagnosis codes, and provider information.
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