Music. And now, we'd like to cut to the chase and introduce our very first speaker, Mr. Marcello Espiritu. I'd like to read your bio here because it's good. You've got a lot of great stuff on here. Marcello Espiritu is the Medicare High Cap Counselor and High Cap Product Analysis Source-Wise Community Resource Specialist. He received state certification for Medicare High Cap Counseling back in 2010, and since then, he has been an advocate for the elderly and individuals with disabilities who struggle with the complexity of Medicare, the myriad options, and the decisions they face. He's involved in training new High Cap volunteers and supports existing certified volunteer counselors. He conducts community outreach and develops informational materials for Santa Clara County Medicare beneficiaries. He is an integral part, a graduate of the integral program of St. Mary's College of California. Please, let's welcome Marcello. Yes, thank you everybody. It's a pleasure being here today. I was here a couple of years ago, but you know my connection to the ESRB. Actually, my father-in-law is a transplant recipient back in 2000, and he's still not strong. So today, I'll be talking about Medicare ESRD. And before I get into that, I'd like to tell you about our services at SourceWise. SourceWise is the Area Agency on Aging in Santa Clara County. Our mission is to provide expertise, education, quality support services to Santa Clara seniors, their families, and caregivers. We offer a lot of direct services. If you were to call us, you would reach our Information and Awareness Department, where we can connect you to resources throughout the county. We also have a care management group. This is for people who have Medicare, and we would connect them with a care provider and develop a plan of care. We...
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Cms 3427 Form: What You Should Know
Facility, a representative (including but not limited to physician, nurse, health care contractor, administrator/designer, or other related employee) of the facility and a signer of the Certification (Part I — Form CMS-3427). The Full form with certification is submitted in paper form. In the case of a facility, the full form with certification is reviewed by a representative from the hospital CMS 3427 End Stage Renal Disease Application and Survey and Certification Report (6/14): is completed by facility and reviewed by the surveyor. Facility, a representative (including but not limited to physician, nurse, health care contractor, administrator/designer, or other related employee) of the facility and a signer of the Certification (Part I — Form CMS-3427). Full Form with Certification is applied for online. The online application, a copy of which is provided at the time of payment for service performed by a Medicare provider, is completed by the provider, a representative (including but not limited to physician, nurse, health care contractor, administrator/designer, or other related employee) of the facility and a signer of the Certification (Part I — Form CMS-3427) and received. CMS 3427 Certification (7/15): is completed by the provider. Provider, a representative (including but not limited to physician, nurse, health care contractor, administrator/designer, or other related employee) of the facility and a signer of the Certification (Part I — Form CMS-3427). Full Form with Certification is applied for online. The online application, a copy of which is provided at the time of payment for service performed by a Medicare provider, is completed by the provider, a representative (including but not limited to physician, nurse, health care contractor, administrator/designer, or other related employee) of the facility and a signer of the Certification (Part I — Form CMS-3427) and received. CMS 3427 Form 3427 and Supplemental Information The Complete Form 3427 and Supplemental Information (Form 3427e) contains the final End Stage Renal Disease application form. (As described above, the Form 3427e is used as an electronic application, and it also allows for automated approval or denial of each section of the application.) CMS Form 3427e (5/13), the final application form for End Stage Renal Disease, is completed by each facility.
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