Instructions Regarding Processing Claims Rejecting for Gender/Procedure Conflict


Date Issued: 12-18-2009
Implementation Date: 04-05-2010
Effective Date: 04-01-2010
Source: CMS - Transmittal
Source#: CR6638
Category: Bill/Pmt SNF Inpatient
CBSI Contact: Missy Tieken
 
As the result of transgender and hermaphrodite issues, claims for some beneficiaries are rejecting the IOCE, and CWF due to gender specific edits. This is resulting in inappropriate denials for Part A and Part B claims.

http://www.cms.gov/transmittals/downloads/R1877CP.pdf



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