[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-640758-105":59,"doc-detail-640758-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","coding-and-documentation-best-practices","Coding and Documentation Best Practices","","Coding and documentation best practices focused on supporting diagnoses with precise, clinically grounded documentation. It emphasizes using the M.E.A.T framework—Monitoring, Evaluating, Assessing/Addressing, and Treating—to ensure documentation covers signs and symptoms, test results, medication effectiveness, ordered services, counseling, and therapies. Guidance also clarifies correct usage of “history of” versus current conditions, including remission-specific ICD-10 coding. It stresses adherence to LCD/NCD requirements and maintaining up-to-date ICD-10 resources and guidelines.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":30,"@type":76,"position":81},"https://docshare.wps.com/document/technology/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/coding-and-documentation-best-practices/640758/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/coding-and-documentation-best-practices/640758.png","ImageObject",300,407,{"name":92,"@type":93},"McGucket","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-26","2026-10-22",true,{"@type":102,"interactionType":103,"userInteractionCount":8},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What does the M.E.A.T framework require for documentation?","Question",{"text":112,"@type":113},"It requires Monitoring, Evaluating, Assessing/Addressing, and Treating so documentation covers signs and symptoms, test results and medication effectiveness, ordered tests and counseling, and therapies/modalities.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"When should “history of” be used in documentation?",{"text":117,"@type":113},"Use “history of” for conditions when the patient no longer has the condition and requires no further treatment.",{"name":119,"@type":110,"acceptedAnswer":120},"How should ICD-10 “in remission” coding be handled?",{"text":121,"@type":113},"When the ICD-10 diagnosis code category provides an “in remission” option for a current condition in remission, use “in remission” rather than “history of” to code accurately.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},640758,1793006898,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":29,"category_name":30,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":8,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":19,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":52},1236954412713,"https://us-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","Coding and Documentation Best Practices  \nWritten by Angela Buckley, CCS, CPC, CPMA, CPC-I, RMA  \n• Documentation must support the diagnosis.  \n• If you Think It, Ink It, and then Link It.  \n• Use M.E.A.T to ensure the documentation supports the diagnosis:  \n– Monitoring– signs, symptoms, disease progression, disease regression  \n– Evaluating– test results, medication effectiveness, response to treatment  \n– Assessing/Addressing – ordering tests, discussion, review records, counseling  \n– Treating-medications, therapies, other modalities  \n• Do not use “history of” to describe a current or chronic condition that is still present, active, ongoing, or currently being treated. A history code indicates that the patient no longer has the condition.  \n• When an ICD-10 diagnosis code category has a code for “in remission” to describe a current condition inremission, use “in remission” rather than “history of” to aid in properly coding the condition.  \n• Report “history of” for conditions when the patient no longer has the condition and requires no further treatment.  \n• Know Local Coverage Determination (LCD) and National Coverage Determination (NCD) guidelines and requirements. They can change monthly so check them often for any changes.  \n• Having a current ICD-10 coding book in the office is helpful to assist in choosing the correct diagnosis and to make sure all required diagnoses are reported. Alternatively, there is a download for ICD-10-CM.  \n• ICD-10 Coding Guidelines are updated October 1st of each year and can be found online.  \nResources  \n• CMS.gov for NCDs  \n[https://www.cms.gov/medicare-coverage-database/indexes/ncd-alphabetical](https://www.cms.gov/medicare-coverage-database/indexes/ncd-alphabetical)index.aspx  \n• Novitas Solutions for LCDs  \n[https://www.novitas](https://www.novitas)  \n[solutions.com/webcenter/portal/MedicareJH/pagebyid?contentId=00024343](solutions.com/webcenter/portal/MedicareJH/pagebyid?contentId=00024343)  \n• ICD-10-CM Coding Guidelines  \n[https://www.cms.gov/Medicare/Coding/ICD10/Downloads/2020-Coding](https://www.cms.gov/Medicare/Coding/ICD10/Downloads/2020-Coding)Guidelines.pdf  \n• ICD-10 Coding Book download  \n[https://www.cms.gov/Medicare/Coding/ICD10/2020-ICD-10-CM](https://www.cms.gov/Medicare/Coding/ICD10/2020-ICD-10-CM)","cbCaivW4WtG6vsFD","https://ap.wps.com/l/cbCaivW4WtG6vsFD","pdf",799944,"English","# Coding Documentation Principles\n## M.E.A.T Framework\n## Correct Use of History vs Remission\n# Coverage Guidelines and Resources","[{\"question\":\"What does the M.E.A.T framework require for documentation?\",\"answer\":\"It requires Monitoring, Evaluating, Assessing/Addressing, and Treating so documentation covers signs and symptoms, test results and medication effectiveness, ordered tests and counseling, and therapies/modalities.\"},{\"question\":\"When should “history of” be used in documentation?\",\"answer\":\"Use “history of” for conditions when the patient no longer has the condition and requires no further treatment.\"},{\"question\":\"How should ICD-10 “in remission” coding be handled?\",\"answer\":\"When the ICD-10 diagnosis code category provides an “in remission” option for a current condition in remission, use “in remission” rather than “history of” to code accurately.\"}]","Coding and Documentation Best Practices | PDF",1792711423]