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HEDIS Measure for Medicaid Pediatric BMI Percentile,Counsel for Nutrition, Counsel for Physical Activity

MU, CQR, PQRS, etc.

Last Post by Anonymous 1 second ago

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mastrose

(@mastrose)

Posts: 15

Eminent Member

Topic starter

Hello CHUG,

Is anyone capturing and sending this data for HEDIS and Medicaid Plans? For BMI Percentile the Medicaid plans in our area are requiring ICD-10 codes, for Counseling for Nutrition they want a HCPCS code of G0270 or G0271 and for Counseling for Physical Activity, they want HCPCS G0447. All of this information needs to be on a claim and sent to the Medicaid Carrier for credit. We are trying to figure out how we could automate this in our EMR but it seems to be very difficult. We would appreciate any feedback.

Thank you,
Shannon Mastroianni
Rowan Medicine (CEMR v9.12)
[email protected]

Posted : January 29, 2019 1:57 am

bhoover

(@bhoover)

Posts: 360

Honorable Member

We do this now. We use a custom vitals form. This is our basic workflow: When the height and weight are entered the BMI value is calculated. Then in the page close handler for the form if the BMI obs term is present we call a function that takes the BMI value as a parameter. Based on the BMI value then use the MEL_ADD_ORDER() function to send the appropriate CPT code with the needed ICD code attached.

I hope that is helpful.

Thanks,

Brad

Posted : January 29, 2019 8:15 am

Maribel

(@maribel)

Posts: 65

Estimable Member

Hi Brad I was wondering would you be willing to share a screen shot of the custom vitals form that you are using? After the upgrade we had I thought we are supposed to get a really nice vitals forms for PEDS, but come to find out it was missing a lot of information. Thank you in advance

Posted : January 30, 2019 8:36 am

stoungate

(@stoungate)

Posts: 1

New Member

We were told by some insurance plans to use dx codes Z71.3 and Z71.82

Posted : December 12, 2019 10:25 am

petemarkey

(@petemarkey)

Posts: 373

Honorable Member

Do you calculate or read the "Percentile" somehow?

Posted : January 31, 2020 11:10 am

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