MDS Alert
Look to SSA to Code for MBI Answers
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
Know which diagnoses CMS believes appropriate for a nursing facility stay. The fact that many [...] - ICD-10 Practice:
Coding Migraines Need Not Be A Headache
This debilitating condition has many code variations. You may feel overwhelmed by the sheer amount [...] - Cybersecurity:
Don't Fall Prey To These Device Mistakes
Innocent mistakes are just as problematic as nefarious action. With everything increasingly device-centric, cybercriminals are [...] - Emergency Preparedness:
Don't Neglect Water Supply Needs
Water is crucial for life, especially in a nursing facility accommodating multiple residents’ dietary and [...] - Staffing and Best Practices:
Dress For MDS Success
Nurses who focus on MDS instead of floor work may still benefit from wearing scrubs. [...] - You Be the Coder:
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 [...]
