Cdi Specialist S Guide To Icd 10

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The Clinical Documentation Improvement Specialist's Guide to ICD-10

Author : Glenn Krauss
Publisher : HC Pro, Inc.
Page : 163 pages
File Size : 40,5 Mb
Release : 2011-03
Category : Medical
ISBN : 9781601468178

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The Clinical Documentation Improvement Specialist's Guide to ICD-10 by Glenn Krauss Pdf

Take charge of ICD-10 documentation requirements The implementation of ICD-10 brings with it new documentation requirements that will have a significant impact on the work of your CDI team. The higher degree of specificity of information needed to code accurately will have a direct correlation to reimbursement and compliance. CDI specialists need a firm understanding of the new code set, and the rules that govern it, to obtain the appropriate level of documentation from physicians. The Clinical Documentation Improvement Specialist's Guide to ICD-10 is the only book that addresses ICD-10 from the CDI point of view. Written by CDI experts, it explains the new documentation requirements and clinical indicators of commonly reported diagnoses and the codes associated with those conditions. You'll find the specific documentation requirements to appropriately code conditions such as heart failure, sepsis, and COPD. Learn from your peers The Clinical Documentation Improvement Specialist's Guide to ICD-10 includes case studies from two hospitals that have already begun ICD-10 training so you can use their timelines as a blue print to begin your organization's training and implementation. ICD-10 implementation happens in 2013. It's not too soon to start developing the expertise and comfort level you'll need to manage this important industry change and help your organization make a smooth transition. Benefits: * Tailored exclusively for CDI specialists * Side-by-side comparison of what documentation is necessary now v. what will be required starting October 1, 2013 * Timelines to train physicians in new documentation requirements to ensure readiness by implementation date * Strategies and best practices to ensure physician buy-in

CDI Specialist's Guide to ICD-10

Author : Jennifer Avery
Publisher : Hcpro Incorporated
Page : 196 pages
File Size : 51,7 Mb
Release : 2014-05-14
Category : MEDICAL
ISBN : 1615692010

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CDI Specialist's Guide to ICD-10 by Jennifer Avery Pdf

Now in its second edition, The Clinical Documentation Improvement Specialist's Guide to ICD-10 is the only guide to address ICD-10 from the CDI point of view. Written by CDI experts and ICD-10 Boot Camp instructors, it explains the ICD-10 documentation requirements and clinical indicators of commonly reported diagnoses and the codes associated with those conditions. You'll find the specific documentation requirements to appropriately code a variety of conditions. The CDI Specialist's Guide to ICD-10, 2nd edition, not only outlines the changes coming in October 2014, it provides detailed information on how to assess staffing needs, training requirements, and implementation strategies. The authors-an ICD-10 certified coder and CDI specialist-collaborated to create a comprehensive selection of ICD-10 sample queries facilities can download and use to jumpstart ICD-10 documentation improvement efforts. Develop the expertise and comfort level you'll need to manage this important industry change and help your organization make a smooth transition. The Clinical Documentation Improvement Specialist's Guide to ICD- 10, 2nd ed. is part of the library of products and services from the Association of Clinical Documentation Improvement Specialists (ACDIS). ACDIS members are CDI professionals who share the latest tested tips, tools, and strategies to implement successful CDI programs and achieve professional growth. Member benefits include a quarterly journal, members-only Web site, quarterly networking conference calls, discounts on conferences, and more. WHAT'S NEW? Completely revised to accommodate changes in ICD-10 implementation dates Dozens of targeted ICD-10 physician queries Updated ICD-10 benchmarking reports BENEFITS Sample ICD-10 queries Specificity requirements and clinical indicators by disease type and body system Staff training and assessment tools

The Clinical Documentation Improvement Specialist's Guide to ICD-10, Second Edition

Author : Jennifer Avery,Cheryl Ericson
Publisher : Hcpro, a Division of Simplify Compliance
Page : 0 pages
File Size : 49,7 Mb
Release : 2013-05-07
Category : Electronic
ISBN : 1615692002

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The Clinical Documentation Improvement Specialist's Guide to ICD-10, Second Edition by Jennifer Avery,Cheryl Ericson Pdf

The Clinical Documentation Improvement Specialist's Guide to ICD-10, Second Edition Now in its second edition, The Clinical Documentation Improvement Specialist's Guide to ICD-10 is the only guide to address ICD-10 from the CDI point of view. Written by CDI experts and ICD-10 Boot Camp instructors, it explains the ICD-10 documentation requirements and clinical indicators of commonly reported diagnoses and the codes associated with those conditions. In it you'll find the specific documentation requirements to appropriately code a variety of conditions. The Clinical Documentation Improvement Specialist's Guide to ICD-10, Second Edition, not only outlines the changes coming in October 2014, it provides detailed information on how to assess staffing needs, training requirements, and implementation strategies. The authors--an ICD-10 certified coder and CDI specialist--collaborated to create a comprehensive selection of ICD-10 sample queries that facilities can download and use to jumpstart their ICD-10 documentation improvement efforts. Develop the expertise and comfort level you need to manage this important industry change and help your organization make a smooth transition. The Clinical Documentation Improvement Specialist's Guide to ICD-10, Second Edition, is part of the library of products and services from the Association of Clinical Documentation Improvement Specialists (ACDIS). ACDIS members are CDI professionals who share the latest tested tips, tools, and strategies to implement successful CDI programs and achieve professional growth. Member benefits include a quarterly journal, members-only Web site, quarterly networking conference calls, discounts on conferences, and more. WHAT'S NEW? Completely revised to accommodate changes in ICD-10 implementation dates Dozens of targeted ICD-10 physician queries Updated ICD-10 benchmarking reports BENEFITS Sample ICD-10 queries Specificity requirements and clinical indicators by disease type and body system Staff training and assessment tools TABLE OF CONTENTS Chapter 1: ICD-10 primer Chapter 2: Conventions and Guidelines Chapter 3: Physician queries Chapter 4: CDI target areas Chapter 5: ICD-10-CM/PCS Provider Education

The Clinical Documentation Improvement Specialist's Handbook, Second Edition

Author : Heather Taillon
Publisher : HC Pro, Inc.
Page : 171 pages
File Size : 46,9 Mb
Release : 2011-01-21
Category : Medical
ISBN : 9781601467751

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The Clinical Documentation Improvement Specialist's Handbook, Second Edition by Heather Taillon Pdf

The Clinical Documentation Improvement Specialist's Handbook, Second Edition Marion Kruse, MBA, RN; Heather Taillon, RHIA, CCDS Get the guidance you need to make your CDI program the best there is... The Clinical Documentation Improvement Specialist's Handbook, Second Edition, is an all-inclusive reference to help readers implement a comprehensive clinical documentation improvement (CDI) program with in-depth information on all the essential responsibilities of the CDI specialist. This edition helps CDI professionals incorporate the latest industry guidance and professional best practices to enhance their programs. Co-authors Heather Taillon, RHIA, and Marion Kruse, MBA, RN, combine their CDI and coding expertise to explain the intricacies of CDI program development and outline the structure of a comprehensive, multi-disciplinary program. In this edition you will learn how to: Adhere to the latest government and regulatory initiatives as they relate to documentation integrity Prepare for successful ICD-10 transition by analyzing your CDI program Step up physician buy-in with the improved education techniques Incorporate the latest physician query guidance from the American Health Information Management Association (AHIMA) Table of Contents Chapter 1: Building the CDI Program Chapter 2: CDI and the healthcare system Chapter 3: Application of coding guidelines Chapter 4: Compliant physician queries Chapter 5: Providing physician education Chapter 6: Monitoring the CDI program What's new in the Second Edition? Analysis of new industry guidance, including: AHIMA's "Managing an Effective Query Process" and "Guidance for Clinical Documentation Improvement Programs." CMS guidance from new IPPS regulations, MLN Matters articles, Quality Improvement Organizations, and the Recovery Audit Contractor (RAC) program, among others Strategies to help you incorporate the guidance into your CDI program. Tools to help you interpret MAC initiatives and RAC focus areas to enhance your CDI program and help prevent audit takebacks New sample queries, forms, tools, and industry survey data BONUS TOOLS! This book also includes bonus online tools you can put to use immediately! Sample query forms Sample job descriptions for CDI managers, and CDI specialists Sample evaluation form for CDI staff Sample pocket guide of common documentation standards

The 2015 CDI Pocket Guide

Author : Richard D Pinson, MD, Facp, CCS,Cynthia L Tang, Rhia, CCS
Publisher : Unknown
Page : 0 pages
File Size : 52,9 Mb
Release : 2015-01-16
Category : Electronic
ISBN : 155645290X

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The 2015 CDI Pocket Guide by Richard D Pinson, MD, Facp, CCS,Cynthia L Tang, Rhia, CCS Pdf

The 2015 CDI Pocket Guide Richard D. Pinson, MD, CCS Cynthia L. Tang, RHIA, CCS "The"" 2015 CDI Pocket Guide" helps you take clinical findings and dig deeper, and look for additional details--such as medications and other conditions--to develop the most accurate picture of the patient's condition. Authors Richard D. Pinson, MD, FACP, CCS, and Cynthia L. Tang, RHIA, CCS, draw on more than fifty years' cumulative experience and provide the clinical coding authority to strengthen patient care quality and resource utilization, and improve compliance and reimbursement. The new 2015 edition of our popular CDI best-seller includes critical new updates from the 2015 IPPS Final Rule, and additional ICD-10 documentation tips to ensure you are ready for the national October 1, 2015 compliance deadline. New to this year is additional information on Value-Based Purchasing (VBP) and how CDI specialists can incorporate VBP initiatives into their health record reviews. What's new in this edition: Addition of pediatric clinical indicators and diagnostic criteria New Key References for Shock, Neoplasms, Pneumothorax, Functional Quadriplegia, Cystic Fibrosis, Asthma, Intellectual Disability, and more Standardized Key References format for each clinical topic: Definition, Diagnostic Criteria, Treatment, References, Challenges, and ICD-10 Content expansion of "MCC/CC" section to "Comorbid Conditions" that includes secondary diagnoses with a high impact focus for MS-DRG and APR-DRG, quality, and CMS Pay for Performance outcome metrics Strategies for integrating CMS Pay for Performance initiatives into your CDI program Expanded Reference citations of medical literature and other authoritative sources to support diagnostic definitions and criteria Exclusive web-based resource center with detailed supplemental information and updates for all "CDI Pocket Guide" customers Expanded and updated ICD-10 tips and strategies What's Inside A portable, tabbed, and easy reference to keep DRGs and diagnoses at your finger tips The latest coding guidelines and relative weights so you don't report inaccurate codes Newly formatted and expanded "DRG Tips" section that includes DRGs with clinical and treatment indicators for alternate and optimal DRG assignment Strategically placed "ICD-10 Tips" to start getting additional specificity now, in advance of the Oct. 1, 2015 compliance deadline Clinical indicators to help identify documentation opportunities and formulate an appropriate query to the physician 2015 DRG table with relative weights, GMLOS, and transfer DRG indicator Bulk Orders Earn special discounts when you buy multiple copies of The 2014 CDI Pocket Guide. Be sure every member of your team has this valuable guide. Call 800-650-6787 to learn more. Testimonials "My "CDI Pocket Guide" is an invaluable tool! I reference it daily in my reviews, writing queries and educating physicians regarding documentation opportunities. I would be lost without it!" --Norma B., Clinical Documentation Specialist, Bay Medical Center ""The CDI Pocket Guide" is a practical, portable reference that the CDS can carry in his/her pocket and easily reference while reviewing the record on the Patient Care unit versus having to carry cumbersome ICD Coding books to the units with "stickies" and notes throughout the coding books." --Cindy Z., Corporate HIM Director, Yale New Haven Hospital

2021 CDI Pocket Guide

Author : Cynthia Tang,Richard Pinson
Publisher : Unknown
Page : 328 pages
File Size : 45,6 Mb
Release : 2020-10-15
Category : Electronic
ISBN : 173345943X

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2021 CDI Pocket Guide by Cynthia Tang,Richard Pinson Pdf

Health Information Management

Author : Margaret A. Skurka
Publisher : John Wiley & Sons
Page : 312 pages
File Size : 40,5 Mb
Release : 2017-03-07
Category : Medical
ISBN : 9781119151210

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Health Information Management by Margaret A. Skurka Pdf

The Updated and Extensively Revised Guide to Developing Efficient Health Information Management Systems Health Information Management is the most comprehensive introduction to the study and development of health information management (HIM). Students in all areas of health care gain an unmatched understanding of the entire HIM profession and how it currently relates to the complex and continuously evolving field of health care in the United States. This brand-new Sixth Edition represents the most thorough revision to date of this cornerstone resource. Inside, a group of hand-picked HIM educators and practitioners representing the vanguard of the field provide fundamental guidelines on content and structure, analysis, assessment, and enhanced information. Fully modernized to reflect recent changes in the theory and practice of HIM, this latest edition features all-new illustrative examples and in-depth case studies, along with: Fresh and contemporary examinations of both electronic and print health records, data management, data privacy and security, health informatics and analytics, and coding and classification systems An engaging and user-friendly pedagogy, complete with learning objectives, key terms, case studies, and problems with workable solutions in every chapter Ready-to-use PowerPoint slides for lectures, full lesson plans, and a test bank for turnkey assessments A must-have resource for everyone in health care, Health Information Management, Sixth Edition, puts everything you need at your fingertips.

The Physician Advisor's Guide to Clinical Documentation Improvement

Author : Trey La Charité,James S Kennedy, MD, CCS, Cdip
Publisher : Unknown
Page : 0 pages
File Size : 49,5 Mb
Release : 2014-04-30
Category : Diagnosis related groups
ISBN : 1615693475

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The Physician Advisor's Guide to Clinical Documentation Improvement by Trey La Charité,James S Kennedy, MD, CCS, Cdip Pdf

The Physician Advisor's Guide to Clinical Documentation Improvement Physician advisors are not just needed for case management anymore. ICD-10-CM/PCS and the changing landscape of healthcare reimbursement make their input invaluable in the realm of CDI and coding, too. This book will help your physician advisors quickly understand the vital role they play and how they can not only help improve healthcare reimbursement, but also reduce claims denials and improve the quality of care overall. This book will: * Provide job descriptions and sample roles and responsibilities for CDI physician advisors * Outline the importance of CDI efforts in specific relation to the needs and expectations of physicians * Highlight documentation improvement focus areas by Major Diagnostic Category * Review government initiatives and claims denial patterns, providing physician advisors concrete tools to sway physician documentation

The Clinical Documentation Improvement Specialist's Complete Training Guide

Author : Laurie L. Prescott
Publisher : Unknown
Page : 0 pages
File Size : 47,9 Mb
Release : 2014-10-23
Category : Clinical medicine
ISBN : 1556452837

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The Clinical Documentation Improvement Specialist's Complete Training Guide by Laurie L. Prescott Pdf

Your new CDI specialist starts in a few weeks. They have the right background to do the job, but need orientation, training, and help understanding the core skills every new CDI needs. Don't spend time creating training materials from scratch. ACDIS' acclaimed CDI Boot Camp instructors have created The Clinical Documentation Improvement Specialist's Complete Training Guide to serve as a bridge between your new CDI specialists' first day on the job and their first effective steps reviewing records. The Clinical Documentation Improvement Specialist's Complete Training Guide is the perfect resource for CDI program managers to help new CDI professionals understand their roles and responsibilities. It will get your staff trained faster and working quicker. This training guide provides: An introduction for managers, with suggestions for training staff and guidance for manual use Sample training timelines Test-your-knowledge questions to reinforce key concepts Case study examples to illustrate essential CDI elements Documentation challenges associated with common diagnoses such as sepsis, pneumonia, and COPD Sample policies and procedures

Coding Sepsis, Septicemia, SIRS, Severe Sepsis and Septic Shock

Author : Cynthia Brown
Publisher : Cynthia Brown
Page : 38 pages
File Size : 55,5 Mb
Release : 2015-03-19
Category : Electronic
ISBN : 8210379456XXX

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Coding Sepsis, Septicemia, SIRS, Severe Sepsis and Septic Shock by Cynthia Brown Pdf

CCHIS has created an ebook designed to assist healthcare professional in coding sepsis, septicemia, SIRS, severe sepsis and septic shock in both ICD 9 CM and ICD 10 CM. The ebook contains guidelines, pertinent subject matter, AHA Coding Clinic advice, sample coding cases with answers and much, much more. All in an easy to understand format for the beginner, intermediate, and expert coding professional.

Clinical Documentation Improvement

Author : Rn Phn Nkwuaku, Msn Cphq
Publisher : Createspace Independent Publishing Platform
Page : 246 pages
File Size : 53,8 Mb
Release : 2015-12-17
Category : Electronic
ISBN : 1519538189

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Clinical Documentation Improvement by Rn Phn Nkwuaku, Msn Cphq Pdf

Clinical Documentation Improvement (CDI) Made Easy is a great resource and reference that every Clinical Documentation Improvement Specialist/Professional (CDIS/CDIP), coder, physician champion/advisor, and others involved in the CDI must have. The book is a compendium of sound clinical knowledge and experience, clinical documentation expertise, and quality, which will help the CDIS/CDIP and others maximize their potentials in performing their core duties. Whether you are a new CDIS trying to learn CDI or an experienced CDIS hoping to stay current with CDI world, or involved in the CDI, this book will be very valuable to you. Remember, accurate and quality documentation is a reflection of great patient care. "If it wasn't documented, and documented accurately, it never happened." This book clearly explained various query opportunities by Major Disease Classifications (MDCs) with some sample queries. It defines and analyses different disease processes, creates CDIS awareness and what to look for under various MDCs, ICD-10-CM/PCS, explained current CMS Pay for Performance (P4P), and the CDI responsibility under P4P, explained some pertinent coding guidelines, 2016 Official Coding Guidelines for Coding and Reporting, AHIMA/ACDIS practice brief for queries and compliance, and much more. I have no doubt in my mind that this book is a concise but a comprehensive tool and reference that anyone involved in CDI should always have at his/her side. The Author Anthony O Nkwuaku, RN, PHN, MSN, CPHQ, CCDS is very knowledgeable and experienced as a clinician, clinical instructor, and Clinical Documentation Improvement Specialist.

The CDI Specialist's Complete Training Guide

Author : Laurie L Prescott
Publisher : Unknown
Page : 200 pages
File Size : 55,9 Mb
Release : 2018-02
Category : Electronic
ISBN : 1683087992

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The CDI Specialist's Complete Training Guide by Laurie L Prescott Pdf

The Essential CDI Guide to Provider Queries

Author : Marion Kruse,Marion Kruse, Bsn, RN, MBA,Jennifer Cavagnac
Publisher : Unknown
Page : 0 pages
File Size : 41,7 Mb
Release : 2016-05-20
Category : Electronic
ISBN : 168308084X

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The Essential CDI Guide to Provider Queries by Marion Kruse,Marion Kruse, Bsn, RN, MBA,Jennifer Cavagnac Pdf

The Essential CDI Guide to Provider Queries is the authoritative source for defining policies, procedures, and best practices for provider queries. Thanks to ICD-10-CM/PCS implementation, as well as the advancement of electronic health records and electronic query systems, CDI programs are being pushed in challenging new directions-requiring CDI specialists to redefine where and how they generate queries. Meanwhile, CDI program managers need innovative solutions to improve their query process, target high-risk diagnoses, and educate delinquent providers, coders, or CDI professionals. The Essential CDI Guide to Provider Queries is the only resource that provides a comprehensive analysis of query guidelines and easy-to-follow strategies to improve your processes. Using the tools provided in this vital guide, you can update your practices to meet the challenges of ICD-10-CM/PCS, government payer initiatives, auditor denials, and electronic initiatives. With sample queries, policies, procedures, and national benchmarking data included, The Essential CDI Guide to Provider Queries is a valuable addition to your CDI library. You'll also find information on: ICD-10 implementation Recovery Auditors process Electronic health records Electronic query efforts Compliance risks and OIG scrutiny

ICD-10-CM Official Guidelines for Coding and Reporting - FY 2021 (October 1, 2020 - September 30, 2021)

Author : Department Of Health And Human Services
Publisher : Lulu.com
Page : 128 pages
File Size : 50,8 Mb
Release : 2020-09-06
Category : Medical
ISBN : 1716599989

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ICD-10-CM Official Guidelines for Coding and Reporting - FY 2021 (October 1, 2020 - September 30, 2021) by Department Of Health And Human Services Pdf

These guidelines have been approved by the four organizations that make up the Cooperating Parties for the ICD-10-CM: the American Hospital Association (AHA), the American Health Information Management Association (AHIMA), CMS, and NCHS. These guidelines are a set of rules that have been developed to accompany and complement the official conventions and instructions provided within the ICD-10-CM itself. The instructions and conventions of the classification take precedence over guidelines. These guidelines are based on the coding and sequencing instructions in the Tabular List and Alphabetic Index of ICD-10-CM, but provide additional instruction. Adherence to these guidelines when assigning ICD-10-CM diagnosis codes is required under the Health Insurance Portability and Accountability Act (HIPAA). The diagnosis codes (Tabular List and Alphabetic Index) have been adopted under HIPAA for all healthcare settings. A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and reporting of diagnoses and procedures. These guidelines have been developed to assist both the healthcare provider and the coder in identifying those diagnoses that are to be reported. The importance of consistent, complete documentation in the medical record cannot be overemphasized. Without such documentation accurate coding cannot be achieved. The entire record should be reviewed to determine the specific reason for the encounter and the conditions treated.

The CCDS Exam Study Guide

Author : Anonim
Publisher : HC Pro, Inc.
Page : 155 pages
File Size : 51,8 Mb
Release : 2010
Category : Accounts receivable
ISBN : 9781601467201

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The CCDS Exam Study Guide by Anonim Pdf