Posted in Training, Updates

AMP HEDIS Measure -metabolic monitoring for children and adolescents on antipsychotics

Posted on by KR2Medical Billing

What is AMP HEDIS Measure?

1. The percentage of patients 1 to 17 that had two or more antipsychotic prescriptions and had both of the following in the measurement year:

+Had at least one test for blood glucose: blood glucose test, or HbA1c test

+ Had At least one cholesterol test, or LCL-C test

Eligible population ages: 1 to 17 years of age as of December 31 of the measurement year.

Qualifying Numerator codes that can be found on NCQA website.

Below is a partial list:

September 2020 – OLU_Newsletter_FINAL for remediation

How to successfully meet this measure:

  • Use NCQA coding tips to actively reflect care rendered. Routinely tell members who are on an antipsychotic medication to have their blood glucose or cholesterol tested at least annually.
  • Follow up with the parents of your patients to discuss and educate on lab results.
  • Coordinate care with the behavioral health specialists treating your patients.
Source: Aetna September 2020 Provider Communications
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Author:

My name is Kate Patskovska, CPB. I am an Independent Medical Biller CPB (AAPC), AAPV Approved Instructor; and an owner of KR2 Medical Billing. I create educational material including blogs, presentations that focus on topics of medical billing, medical coding and reimbursement in healthcare.

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