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End Stage Renal Disease Medical Evidence Report Medicare Entitlement and/or Patient Registration and Supporting Regulations in 42 CFR, 405.2133; PL 95-292; CFR Parts....
End Stage Renal Disease Medical Evidence Report Medicare Entitlement and/or Patient Registration (CMS-2728)
OMB: 0938-0046
IC ID: 7806
OMB.report
HHS/CMS
OMB 0938-0046
ICR 202402-0938-004
IC 7806
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Documents and Forms
Document Name
Document Type
Form CMS-2728
End Stage Renal Disease Medical Evidence Report Medicare Entitlement and/or Patient Registration and Supporting Regulations in 42 CFR, 405.2133; PL 95-292; CFR Parts....
Form
Form CMS-2728
End Stage Renal Disease Medical Evidence Report Medicare Entitlement and/or Patient Registration and Supporting Regulations in 42 CFR, 405.2133; PL 95-292; CFR Parts....
Form
CMS-2728 ESRD Medical Evidence Report
CMS-2728 508 SOGI revisions- clean.docx
Form
CMS-2728 508 SOGI revisions- redline.docx
CMS-2728 Redline
IC Document
Information Collection (IC) Details
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