Monday, March 24, 2014

HEDIS - Adult BMI Measure





Adult BMI Assessment

 

MEASURE DESCRIPTION 

Adults 18 to 74 years of age who had an outpatient visit and whose body mass

index (BMI) was documented during the measurement year or the year prior to the

measurement year.

Documentation in the medical record must indicate the weight and BMI value, dated

during the measurement year or year prior to the measurement year.

For patients younger than 19 years on the date of service, documentation of BMI

percentile also meets criteria:

 

• BMI percentile documented as a value (e.g., 85th percentile)

• BMI percentile plotted on an age-growth chart

 
USING CORRECT BILLING CODES -  Codes to Identify BMI

 Description ICD-9 Code

 BMI less than 19, adult V85.0

BMI between 19-24, adult V85.1

BMI between 25-29, adult V85.21-V85.25

BMI between 30-39.9, adult V85.30-V85.39

BMI 40 and over, adult V85.41-V85.45

 

HOW TO IMPROVE HEDIS SCORES

Make BMI assessment part of the vital sign assessment at each visit.

Use correct billing codes (decreases the need for  to request the medical record).

Ensure proper documentation for BMI in the medical record with all components (i.e.,

date, weight, height, and BMI value).

If on an EMR, update the EMR templates to automatically calculate a BMI.

Place BMI charts near scales 
 

AccuChecker is working with physicians on HEDIS and PQRS Measures. For more details please call 305-227-2383  or 1-877-938-9311
 


 


 

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