Background: The Adult Body Mass Index (BMI) Assessment measure is defined as the percentage of patients, age 18 to 74, with a documented BMI and weight within the past two years. It is measured using claims data based on current diagnoses coding. The clinic benchmark for this measure is 93%. Baseline data showed the participating clinic (PPCC) to be at 3.6%. A practice improvement project was initiated with the goal of improving Adult BMI Assessment coding from 3.6% to 50%.
Method: The intervention included creation of a coding cheat sheet, placement of BMI charts with ICD-10 BMI codes in examination rooms, and education of providers and Medical Assistants (MA) concerning Adult BMI Assessment coding and its importance for patients and reimbursement. Chart review was used to identify the number of patients seen, the number of patients with a documented height/weight/BMI, and the number of patients with a documented ICD-10 BMI code during an 8-week period between September 2016 and November 2016. Percentages of patients with a documented ICD-10 BMI code were calculated each week.
Results: Throughout implementation, the percentage of patients with a documented ICD-10 BMI code fluctuated. In week 7, the goal of 50% was obtained with 52% of patients having a documented ICD-10 BMI code.
Discussion: Use of ICD-10 code cheat sheets can improve documentation and increase metric scores to improve reimbursement opportunities.
Author Supplied Keywords
Practice improvement, Metrics, Coding, ICD-10, Primary care
Body mass index; Primary care (Medicine)
Citation: Pilot Scholars Version (Modified MLA Style)
MacLean, Lola, "Improving Adult BMI Assessment Metric Coding in a Small, Urban Primary Care Setting" (2018). Nursing Graduate Publications and Presentations. 28.