CMS-10008 Softram Drug Pass-through Screens

Transitional Pass through payments related to Drugs, Biologicals, and Radiopharmaceuticals to determine eligibility under the Outpatient Prospective Payment System (CMS-10008)

Softram Drug Pass-through Screens

OMB: 0938-0802

Document [pdf]
Download: pdf | pdf
Drug and Biological
Pass-through
Application Screens
Sharadwanth Pusala

Welcome page

Application Guidance modal window – Screen 1

Application Process and Timeline – Screen 1

How the online application works

Primary Contact – Screen 1

Primary Contact – Screen 2

Secondary Contact – Screen 1

Secondary Contact – Screen 2

Previous applications – Screen 1

Previous applications – Screen 2

Drug Info – Screen 1

Drug Info – Screen 2

Drug Info – Screen 3

Drug Info – Screen 4

Drug Info – Screen 5

Drug Info – Screen 6

Drug Info – Screen 7

Drug Info – Screen 8

Device Info – Screen 9

Drug Info – Screen 10

FDA Info – Screen 1

FDA Info – Attachments Screen 1

Cost Info – Screen 1

Cost Info – Screen 2

Cost Info – Screen 3

Cost Info – Attachments Screen 1

Cost Info – Attachments Screen 2

Volume and Utilization – Screen 1

Attachments – Screen 1

Attachments – Screen 2

Attachments – Screen 3

Summary page – Screen 1

Summary page – Screen 2

Summary page – Screen 3

Summary page – Screen 4

Summary page – Screen 5

Summary page – Screen 6

Confirmation page – Screen 1


File Typeapplication/pdf
File TitleDevice Pass-through screens
AuthorSharadwanth Pusala
File Modified2021-05-03
File Created2021-05-03

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