6/10/2023 0 Comments M.e.a.t. clinical documentation![]() Providers are required to document all conditions evaluated during every face‐to‐face visit. Accurate, complete MEAT documentation of CC diagnoses by clinicians is an essential component of the risk adjustment and HCC process. And that the Medicare program is sustainable. It ensures that Medicare beneficiaries receive the best possible care. For example, from the Centers for Medicare & Medicaid (CMS) 2017 data, 57% of Medicare beneficiaries have been diagnosed with hypertension and 41% with hyperlipidemia (high cholesterol).Īctive, efficient, and effective management of these chronic conditions is critical. Currently, as millions of Baby Boomers enter their Medicare years, the focus is now on how to effectively address the high prevalence of chronic conditions among Medicare beneficiaries. HCC risk adjustment is a fundamental method in health insurance payer programs to account for the overall health and medical costs expectations of each individual enrolled in a health plan. If your organization struggles with the HCC MEAT criteria, review our Coding Support and HCC Consulting services to see how YES can help you today! documentation criteria.ĭo you need HCC consulting or coding support? Assigning HCCs can be a difficult task, especially for medical technology and software companies that need help navigating coding and documentation guidelines. Criteria HCC Chronic ConditionsĪs a follow-up to our previous articles “The HCC Coding Specialist: Benefiting payers, providers, and patients” and “HCC Medicare Advantage background and overview,” we now review HCC chronic conditions and the M.E.A.T. ![]() Note: We do not guarantee that all questions will be answered.HCC Chronic Conditions and M.E.A.T. Need expert advice? Email your questions for consideration in the Revenue Cycle Daily Advisor. ![]() Be sure to review all documentation specific to your individual scenario before determining appropriate action. ” This answer was provided based on limited information. It could have been imported as part of a template, but it won't necessarily meet the MEAT or TAMPER criteria.Įditor’s Note: Shea Lunt, RHIA, CPC, CPMA, PMP, a consultant for Haugen Consulting Group, answered this question during the HCPro webinar, “ HCCs: Physician Practice Coding and Documentation Strategies for Success. You might see documentation differ between providers, but as long as it meets the MEAT criteria or the TAMPER (treatment, assessment, monitor, plan, evaluate, and referral) criteria, a condition can be coded from anywhere in the note-except for the problem list.ĭo not code off the problem list unless it is specifically addressed in the note. Only one element of MEAT is required, but the more elements included in the documentation, the better. “Treated” is any note about medication, therapy, surgery, or any other modality addressing treatment of the condition. Is there some statement regarding medication efficacy or treatment response? “Assessed” is for whether there are any tests, discussion, review of records, or counseling. For “evaluated,” look at whether there were test results. “Monitored” could be things such as signs or symptoms or disease progression or regression in the notes. As long as the documentation meets the MEAT (monitored, evaluated, assessed, treated) criteria, it can be reported from anywhere in the note. The coding guidelines don't change with HCCs. Q: Can you explain where in the clinical documentation it would be acceptable to report from for Hierarchical Condition Category (HCC) purposes? Would you code from history of present illness, past medical history, active problem list, or the assessment?Ī: Follow the coding guidelines when reporting diagnosis codes for HCC purposes.
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