Get Usrds Annual Data Report Appendices 2016

This guide provides comprehensive and step-by-step instructions for filling out the USRDS Annual Data Report Appendices online. It aims to help users understand each section of the form, ensuring accurate and complete submissions.

Follow the steps to fill out the USRDS form effectively.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the basic information in Section 1, including patient details such as name, Medicare claim number, and date of birth. Make sure to double-check all information for accuracy.
3. In Section 2, indicate the current medical coverage for the patient, selecting all applicable options.
4. Fill out Section 3 with the patient's height and weight details. Ensure to provide measurements in the correct units, either pounds or kilograms.
5. For Section 4, select the primary cause of renal failure from the provided list and enter the corresponding ICD code.
6. In Section 5, report on the patient’s employment status and co-morbid conditions, making sure to check all relevant boxes.
7. Complete Sections 6 through 12 regarding renal replacement therapy and laboratory values prior to the ESRD episode, ensuring all necessary values and dates are included.
8. Fill out Sections specific to dialysis treatment and kidney transplantation as applicable, providing details such as facility name, provider numbers, and treatment dates.
9. After completing all sections, review the form for any missing information or errors.
10. Once you are satisfied with the completion of the form, save your changes. You can then download, print, or share the filled form as required.

Be sure to complete your documentation online to ensure timely and accurate submissions.