It is key that medical record documentation supports diagnosis codes submitted on a claim. In these audits, CMS requires codes be fully supported by documentation in the medical record and diagnosis codes (ICD‐10) submitted follow the Official Coding Guidelines. criteria can help you be successful in RADV (Mandatory CMS and Health and Human Services Audits are called Risk Adjustment Data Validation) audits. stand for? Here’s an easy way to remember:Ĭhecking all the boxes of M.E.A.T. criteria standards ensures healthcare provider organizations, coding companies, practice management consultants and revenue cycle companies regularly monitor and audit for correct HCC coding. In order to document accurately, and make this process easier, healthcare organizations use M.E.A.T. You probably spend a good amount of time making sure you add the correct HCC codes to your documentation, and staying up to date with adequate supporting documentation for HCC codes – all this to decrease your risk of lower payments, audits, and financial penalties. criteria auditing.Īs a provider, you understand the importance of HCC Coding. In today’s blog, we will provide you with valuable information about how to take your HCC coding & risk adjustment to the next level with M.E.A.T. In past blog posts we’ve talked about the importance of HCC Coding & accurate risk adjustment documentation. Register for the 2021 Southeastern Health Data and Information Conference here.How often do you monitor and audit the accuracy of your HCC Coding? Find out more information by reviewing the event’s agenda here.įor more information regarding MEAT Criteria and the HCC risk adjustment process, review our article “ HCC Chronic Conditions and MEAT Criteria.” The presentation will be held in the Hilton Ballroom West ABC from 1 – 1:45 pm Eastern. The presentation also analyzes sample clinical scenarios, and Risk Adjustment Factor and HCC calculations to aid medical coders and billers. This will include detailed examples of chronic condition documentation. Applying the MEAT Criteria discussed during the presentation, attendees will practice applying the formula in real-time. They will learn what experts consider to be acceptable and unacceptable sources of data. Attendees will explore various examples of Risk Adjustment documentation. Then, she will walk through the structure of the CMS-HCC Risk Adjustment model and compare it to that of the HHS-HCC model. She will also cover the principles of Risk Adjustment for Medicare Advantage. During her Quad21 presentation, Karen will educate attendees on the methodology of Risk Adjustment. During Risk Adjustment documentation and coding, coders use the MEAT formula to help them correctly identify and assign HCC chronic condition diagnoses. The presentation will focus on the required documentation for MEAT Criteria coding. The theme for the event, which is conducting in-person presentations and exhibits this year, is “HIM: Infinite Possibilities.”ĭoes Your Documentation Meet the MEAT Criteria? By Karen Youmans, MPA, RHIA, CCS The 2021 Southeastern Health Data and Information Conference will be held at the Hilton Myrtle Beach Resort, 10000 Beach Club Dr, Myrtle Beach, SC, on October 21 – 24, 2021. YES is excited to announce YES President and CEO Karen Youmans will be educating attendees on the MEAT Criteria coding and documentation practices at the 2021 Southeastern Health Data and Information Conference (Quad21).
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |