MDS Alert
Look to SSA to Code for MBI Answers
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Question: Which sex do I select for a Medicare Part A beneficiary who is transgender? Colorado Subscriber Answer: Medicare Beneficiary Identifier (MBI) cards, which are required for all billing, eligibility, and claims status questions and transactions for beneficiaries, beginning Jan. 1, 2020, do not list gender. The previous Medicare cards used the health insurance claim number (HICN), which was based on a person’s Social Security number, and listed the person’s gender. Even though gender is no longer listed on the person’s MBI card, the information attached to the MBI is based on records kept by the Social Security Administration. So whatever gender the person has listed for their Social Security records is what you should put on anything connected Accuracy is important here: “… if a person is enrolled in Medicare, or the Medicaid and Supplemental Security Income (SSI) programs, their insurance record will be based on Social Security data. In that case, they may experience automatic refusals for coverage of services that appear inconsistent with a gender marker in Social Security records,” the National Center for Transgender Equality says.
to Medicare.
MDS Alert
- Section I:
Prioritize Language as Key to PDPM Accuracy
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Don't Neglect Water Supply Needs
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Dress For MDS Success
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Make Physician Query a Primary Tool in Coding Toolbox
Question: I have a resident admitting from the hospital with multiple diagnoses: dementia, chronic obstructive [...] - Reader Question:
Look to SSA to Code for MBI Answers
Question: Which sex do I select for a Medicare Part A beneficiary who is transgender? [...] - Reader Question:
Medicare Part A Discharge May Not Determine Physical Discharge
Question: My facility has a Medicare Part A resident whose Medicare Part A stay has [...] - Reader Question:
UTI Caused by Diabetes May Need This Code
Question: I have a resident who is being admitted to our facility due to a [...] - Reader Question:
Know These Conditions to Determine Interrupted Stay
Question: How would a resident qualify for an interrupted stay? Iowa Subscriber Answer: The Centers [...]