![]() Counseling is provided or a discussion noted about additional evaluation or ordering of additional testing to determine the status of the disease, progression, or regression. Assessment: Documentation exists of a discussion of a chronic condition and how it should be monitored, followed up with the recommended specialist.The provider has noted assessment of late effects of a condition or illness. There are examination findings, test results reviewed, discussion of medication or treatment efficacy or notations of the patient’s response to treatment(s). Evaluation: The provider documented the current state of the chronic condition (e.g., stable, exacerbated, worsening, uncontrolled).Monitoring: The documentation includes signs, symptoms, disease progression or regression, continued surveillance or observational findings.The following is a summary of actions that are identifiable for each of these four areas of assessing whether MEAT has been met: It indicates that if one of the document supports a condition meets the criteria of MEAT, it is considered a reportable condition. MEAT is an acronym that stands for Monitored, Evaluated, Addressed, and Treated. How To Know Which Conditions Meet Reporting CriteriaĪ common acronym has been floating around related to identifying reportable conditions. Resolution: Additional research highlighted an article by the AHA Coding Clinic that recommended that coders only report codes for conditions documented as addressed during the encounter, which aligns with the ICD-10-CM coding guidelines and recommendations are for coders to adhere to these guidelines and choose which codes they’ll accept and which should not be reported.The suggested codes were correctly autosuggested from the patient’s history (i.e., HPI, ROS, PMFSH) but coders will only accept the suggested codes related to the actual injury and ignore or reject the others. Trend: After analyzing a percentage of the encounter notes where certain condition codes were rejected, it was noted the patients were often seen in the Emergency Department for an acute, traumatic injury.Issue: The engine autosuggests ICD-10-CM codes from the history sections within the patient encounter but the coders do not accept the codes.Identifying coding trends of correct or incorrect code suggestion and code reporting, are essential to ensuring accurate engine autosuggested codes however, coder behavior plays a significant role in the process. Identifying Coding Trends Improves Engine Performance This is a field of artificial intelligence (AI) that is ever expanding and very exciting.ĬAC requires analysts to review hundreds of encounters, very quickly to identify coding trends associated with engine functionality, note formatting, provider documentation, and coder behavior, and to then provide feedback to both the engine and the coder about how to continually improve performance outcomes. Coders can look at the evidence the engine used to determine the suggested code and either accept it or reject it and then can add any codes the engine may have missed. It consumes the medical report and applies the programmed logic to determine which codes to recommend. The engine is programmed to apply coding rules for successful code suggestions. Analysts review engine performance and metrics to determine how successful and accurate the engine is in identifying and suggesting the correct code. ![]() When the coders reject the autosuggested codes, the accuracy rate is reduced. When coders accept the autosuggested code, the accuracy rate or success rate of engine functionality increases. CAC is a process where the engine consumes formatted provider notes and based on programming, recommends specific ICD-10-CM/PCS, CPT, and HCPCS codes for coders to choose from. When trends are noted on a larger scale due to an engine processing high quantities of the same type of encounter or service, it is easier to see formatting, documentation, and coding issues than if you were evaluating significantly smaller numbers of the same document types. Working with computer-assisted coding (CAC) opens our eyes to the many facets of coding not often considered. News - industry news & Find-A-Code updatesīy Aimee L.Marketplace - recommended products & services.Library - buy digital books from Find-A-Code.Bookstore - buy physical books & cheat sheets.Subjects - Audits, E&M, HIPAA, Practice Mgt, etc.Specialties - Cardiology, ENT, Family Practice, etc.Payers - Medicare, Medicaid, BC/BS, Aetna, etc. ![]()
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