CMS Response to Public Comments Received for CMS-1500 (02-12) and 1490S (version 01/18)
The Centers for Medicare and Medicaid Services (CMS) received comments from Humana Inc. a health care company, The National Health Law Program (NHeLP) a public interest law firm and The Tennessee Justice Center.
Comment:
The Centers for Medicare and Medicaid Services (CMS) received a comment from Humana Inc., a leading health care company that offers a wide range of insurance products and health and wellness services. Humana recommends that the CMS add data entry space for Unique Device Identifiers (UDIs) for devices implanted during surgery. With UDI added to the Claim, health care plans could identify patients with defective and/or recalled implantable devices and proactively manage care for the patient.
Response:
CMS would like to thank you for your comment. A new situational segment to report high risk implantable devices has been added to the Professional 837p health care claim for the next version of the Standard. The data element will require the Device Identifier (DI) portion of the Unique Device Identifier (UDI) to be reported. This change has been added to version 8020 of the standard, which includes the professional health care claim transaction. If the Secretary of HHS adopts the next version of the Standard, then a field to report the DI portion of the UDI will also be added to the Form CMS-1500.
Comment:
The Centers for Medicare and Medicaid Services (CMS) received a comment from National Health Law Program (NHeLP) a public interest law firm. NHeLP comment addresses the importance of demographic data collection as a first and critical step towards advancing health equity. NHeLP recommends CMS follow through on its commitment to health equity by adopting race and ethnicity data collection on Form CMS-1500.
Response:
CMS acknowledges your comment as well as the importance of having demographic data collection to advance health equity by adopting race and ethnicity data on the Form CMS-1500. CMS supports allowing providers to voluntarily report race and ethnicity information on the health care claim and has expressed this to the X12 standards committee. CMS has requested that X12 designate the DMG05 field as ‘used’ in the next adopted version of the Standard. If the Secretary of HHS adopts the next version of the Standard, and the DMG05 field is marked as ‘used’ in the 837p health care claim, then a field to report race and ethnicity data will also be added to the Form CMS-1500.
Comment:
The Centers for Medicare and Medicaid Services (CMS) received a comment from The Tennessee Justice Center. The Tennessee Justice Center comment addresses the importance of demographic data collection as a first and critical step towards advancing health equity. The Tennessee Justice Center recommends CMS follow through on its commitment to health equity by adopting race and ethnicity data collection on Form CMS-1500.
Response:
CMS acknowledges your comment as well as the importance of having demographic data collection to advance health equity by adopting race and ethnicity data on the Form CMS-1500. CMS supports allowing providers to voluntarily report race and ethnicity information on the health care claim and has expressed this to the X12 standards committee. CMS has requested that X12 designate the DMG05 field as ‘used’ in the next adopted version of the Standard. If the Secretary of HHS adopts the next version of the Standard, and the DMG05 field is marked as ‘used’ in the 837p health care claim, then a field to report race and ethnicity data will also be added to the Form CMS-1500.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Parks, Charlene (CMS/OIT) |
| File Modified | 0000-00-00 |
| File Created | 2023-09-28 |