CMS-10569 Screenshots

Data Collection for Quality Measures Using the Consolidated Renal Operations in a Web-Enabled Network (CROWNWeb) (CMS-10569)

ESRD QIP Application Screenshots_Prod_20200116

: End-Stage Renal Disease Quality Incentive Program: Data Collection for Quality Measures Using the Consolidated Renal Operations in a Web-Enabled Network

OMB: 0938-1289

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ESRD QIP Applications (Legacy System):

  1. ESRD QIP Application Landing Page:

  1. Inquiry Dashboard to Submit Clarification Question:



  1. Clarification Question:







  1. Inquiry Dashboard for Formal Inquiries:













  1. Formal Inquiry:



  1. Inquiry Dashboard with all Formal Inquiries and Clarification Questions Status:

  1. Run/Search Reports Landing Page:



8. Run/Search Reports Landing Page (2nd page):













  1. Run Report:



  1. Search Report(s) Landing Page:

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorJune Tran
File Modified0000-00-00
File Created2021-01-14
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