princesskass16
New
I have been doing RA coding for insurance companies for 4 years now. When I was originally trained, I was told to look for MEAT or TAMPER for every RA code before submitting to CMS. However, CMS also says to follow ICD 10 guidelines. In the 2017 ICD 10 guidelines, this statement was added: "Diagnosis code assignment must be based on the provider's diagnostic statement that the condition exists and is not based on clinical criteria the provider used to establish the diagnosis. Conflicting documentation must be queried."
Does this mean that we should be coding anything the provider says in his or her note and not be checking to see if the documentation meets "MEAT" requirements anymore? A lot of our providers just write diagnoses in the A/P section and don't talk about the disease whatsoever.
I am just getting very confused now on what to do. Thanks!
Does this mean that we should be coding anything the provider says in his or her note and not be checking to see if the documentation meets "MEAT" requirements anymore? A lot of our providers just write diagnoses in the A/P section and don't talk about the disease whatsoever.
I am just getting very confused now on what to do. Thanks!