HCC Best Practice: Suspected Morbid Obesity
BPA Spotlight - Morbid Obesity Suspect BPA
To help providers identify patients with a potential Morbid Obesity (HCC 22) diagnosis, the Clinical Documentation Excellence (CDE) Team has created logic within the HCC Best Practice Advisory (BPA) based on the following criteria:
HCC 22 - Morbid Obesity - (1 and 2)
- Patient is greater than or equal to 18
- BMI is over 40
Severe Obesity with Comorbidities (1 and 2 and 3)
- BMI less than 40
- BMI greater or equal to 35
- Has comorbidity on problem list, encounter dx, or invoice dx
- Hypertension
- Dyslipidemia
- Cardiovascular Disease
- Stroke Primary Diagnosis Cohort
- Obstructive Sleep Apnea
- Ischemic Heart Disease
- Gallbladder Disease
Identifying the suspect BPA
- Morbid Obesity Suspected BPAs will always have a header above the condition with the language “Probable Condition Based on Epic Documentation – Morbid Obesity” in a Grey Bar.
- Any Suspected Conditions will populate towards the top portion of the BPA tool.
- Similar to the standard Recapture Chronic Conditions in the BPA, the provider will always have the button selections of “Add Visit Diagnosis” to add the condition; “Do Not Add” to suppress the alert to the next appointment; or “N/A to Patient” to disagree and remove the condition from the tool.
- To refer to the logic outlined above, the provider can select the “link” hyperlink from the “For more information on Ochsner / Epic Probable Condition Logic click this link.
