HCFA 1500 Form and the 837P
Currently, Field 14 of the CMS 1500 form and its electronic version, the 837P, allows a provider to document the "Date of Current Illness, Injury or Pregnancy (LMP)". It is well known that the LMP is not as reliable a source for the pregnancy due date as is ultrasound confirmation of the due date. I am requesting that providers be allowed to enter the estimated delivery date in this field on the paper form and in its counterpart on the 837P along with a new qualifier specific to the estimated delivery date. This change will allow state Medicaid programs to determine gestational age from claims data and subsequently allow for the generation and reporting to CMS of performance measure rates related to gestational age - elective deliveries and antenatal steroid use. These performance measure rates are included in the CMS Adult Core Set of Measures that CMS has asked Medicaid programs to report and states are handicapped in identifying the target population prior to generating a sample for medical record review without this capability.