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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.
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Healthcare providers who receive Medicare payments are required to file Centers for Medicare & Medicaid Services (CMS) forms.
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Centers for Medicare & Medicaid Services (CMS) forms can be filled out electronically using the CMS website or through a third-party billing service.
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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.
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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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