![]() Next Stepsįurthermore, do 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. Utilizing the CMS HCC MEAT criteria for provider documentation is the most effective way to ensure MEAT HCC coding accuracy. Now is the time to review your providers’ documentation practices and coding guidelines. MA plans must recapture all chronic conditions to receive reimbursement. Remember, in summary, CMS “wipes the slate clean” every January 1. The MEAT acronym in the medical industry is described as the following: Monitoring, Evaluation, Assessment, Treatment for documentation practices, ICD-10-CM diagnosis coding, and HCC assignments. Most organizations use the “M.E.A.T.” criteria. It must also include the clinical provider’s assessment and/or plan for managing the disease/condition. To support an HCC, documentation must support the presence of the disease/condition. Criteria for DocumentationĬoding professionals need to review the entire medical record documentation to assign appropriate ICD-10-CM diagnosis codes. 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) 2018 data, 57% of Medicare beneficiaries have been diagnosed with hypertension and 48% with hyperlipidemia (high cholesterol).Īctive, efficient, and effective management of these chronic conditions is critical. As millions of Baby Boomers enter their Medicare years, the focus is 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. As 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.
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