![]() ![]() This code is then used to determine the patient’s risk score, also known as the risk adjustment factor (RAF) score for Medicare enrollees, which is used to calculate the reimbursement amount the provider will receive from Medicare. What is the MEAT-enabled HCC coding solution?Ī MEAT-enabled HCC coding solution will use a medical coder’s knowledge of a patient’s diagnoses to generate a Hierarchical Condition Category (HCC) code. These changes must be documented in order to accurately code for them.Ī MEAT-enabled HCC coding solution can simplify HCC coding and help you more accurately code for risk adjustment. This can include things like an improvement, worsening, or remission of a condition. Transition refers to changes in a patient’s health status over time. This ensures that only patients who actually have the condition are coded for it. Certain conditions must be present for a certain amount of time before they can be coded for. Timing is another important factor in HCC coding. For example, a chronic condition like diabetes would be coded differently than an acute condition like a heart attack. This is important because it affects how the condition should be coded. This evidence is used to identify the presence or absence of conditions that should be coded for.Īcuity refers to the severity of a condition. ![]() ![]() The medical evidence includes everything from clinical documentation to laboratory results. MEAT approach to HCC coding considers many factors in order to accurately code for a patient’s health status. There are numerous potential solutions to this challenge, but not all of them are created equal. Common HCC coding challenges & potential solutions By using MEAT-enabled ICD-10-CM code review & audit solutions, you can streamline the HCC coding process and ensure compliance with government regulations. ²Ĭoding HCCs can be complex, but it is essential for accurate reimbursement and population health data collection. Of the approximately 70,000 ICD-10-CM codes, about 9,500 map to 79 HCC categories. HCCs are defined as any condition that affects an individual’s health and well-being. Once you have detailed documentation of the ICD-10-CM codes as per MEAT criteria, you can begin to code HCCs, effectively. MEAT stands for monitor, evaluate, assess/address, and treat. The goal of HCC coding is to ensure that providers are reimbursed for the care they provide, while also providing data that can be used to improve population health. HCC coding is a process used by healthcare providers to document and report diagnoses in a way that is compliant with government regulations. Say goodbye to uncertainty and hello to clarity with our innovative approach. Table of Content:Ģ- Common HCC coding challenges & potential solutionsģ- What is the MEAT-enabled HCC coding solution?Ĥ- How to implement a MEAT-enabled HCC coding solution in RA In this blog post, we will talk about how a MEAT-enabled solution simplifies HCC coding, streamlines the documentation process, and ensures accurate reimbursement. Have you been struggling to accurately capture patient diagnoses and risk scores? Are you tired of the complexity and confusion that comes with hierarchical condition category (HCC) coding? ![]()
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