HCC Best Practice: Suspected Morbid Obesity

December 1, 2022
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HCC Best Practice: 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)

  1. BMI less than 40  
  2. BMI greater or equal to 35
  3. 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.
Screen showing BestPractice Advisories for HCC BPA diagnoses
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