Meat Training

O ADVANTMED Where is the MEAT? RekAdustment HEDIS/ Sar Ratngs Record Rerieval Member Oureach RV Record Conralzator X ADVANTMED Where is the MEAT? Where is the M.E.A.T? * M= Monitor * E=Evaluate + A=Assess + T=Treat If your diagnosis can be supported by any of the above by being Monitored, Evaluated, Assessed, or Treated then you should be in compliance. As long as there is some relationship to your diagnosis. 2

O ADVANTMED What is MEAT? MEAT Criteria consists of the following O Anythingin the assessment would be considered as having met MEAT criteria except for specific acute diagnosis that should only appear in hospital admission (Thislist would need to be reviewed and confirmed- CVA, Fractures, PE, etc.) 0 Chronic conditions do not require MEAT (see list of chronic conditions) U MEAT is considered from ROS, PE, Assessment, or Plan ) Medications do not have to be linked by provider; however, it must be conclusive that the medication is for that condition. “For example Coumadin is prescribed and patient has both A-fib and DVT. You cannot identify whythe Coumadinis given, so you cannot assume linkage.” Laboratory or other testing does not have to be linked to be considered valid for MEAT. X &) ADVANTMED Where is the MEAT? Additional hints: * Monitoring- signs, symptoms, disease progression, disease regression Evaluating- test results, medication effectiveness, response to treatment Assessing (or Addressing) — ordering tests, discussion, review records, counseling Treating- medications, therapies, other modalities

&) ADVANTMED Where is the MEAT? Past Medical History COPD- patient continues to Smoke Rationale: COPD would be considered to contain MEAT even under past medical history if statement follows — patient continues to smoke would be evaluation of the condition. Past Medical History " Afib - continue daily Warfarin Rationale: A-fib would be considered to contain MEAT even under past medical history if statement follows - this indicates current treatment for the condition. N O ADVANTMED Where is the MEAT? Pastmedical history: Rheumatoid arthritis ROS (Review of systems); Musculoskeletal: Joint pain continues, there is some deformity to the PIP joints MEAT criteria s met: Evaluation of the joints and/or the discussion of symptomsis evaluation of the RA

&) ADVANTMED Where is the MEAT? Pastmedical history: Atrial Fibrillation Physical Exam: Cardio: Rhythm irregularly irregular MEAT criteria is met: Observation of the irregular heart beat is considered symptom and would be MEAT for the a-fib. PastMedical History: Neuropathyof the feet Physical Exam: Extremities: numbness and tingling bilaterally MEAT criteria is met: Numbness and tingling are common symptoms. &) ADVANTMED MEAT found in the HPI * MEAT can be found in the HPI. In the example below, provider states “ESRD started on HD” and hemodialysis status (V45.11) should be captured based on the provider’s statement Ol Coplit: ool v . murm o e i chesty e e, ERD s ). e ook dicae petesion e et e CAD, e 225 2 DES O, who s forfollow spolrpeges St vt e e admsin S s Skl st kKU S v ket ook Sedws P SO8 st &7 o g S pr——