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The Physician Documentation Improvement Pocket Guide Second Edition
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Book Synopsis The Physician Documentation Improvement Pocket Guide, Second Edition by : Hcpro Inc. Staff
Download or read book The Physician Documentation Improvement Pocket Guide, Second Edition written by Hcpro Inc. Staff and published by . This book was released on 2012-12-03 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Physician Documentation Improvement Pocket Guide, Second Edition (Packs of 25) Documentation improvement help for your physicians at their fingertips.Sold in packages of 25 Use the "Physician Documentation Improvement Pocket Guide, ""Second Edition" to help your physicians remember key documentation points. The six-panel card includes everything from documentation basics to severity of illness clinical indicators. Updated for 2013, this second edition includes information physicians need for their CPT and evaluation and management (E/M) documentation. And it fits easily in the physician's pocket Start your CDI physician education efforts with the accompanying online instruction manual and help physicians understand common documentation gaps. This product: Contains common severity of illness documentation tips Includes physician E/M and CPT documentation reminders Offers guidance for physician CDI training efforts Includes both printed pocket card and online PDF formats
Book Synopsis The Clinical Documentation Improvement Specialist's Handbook, Second Edition by : Heather Taillon
Download or read book The Clinical Documentation Improvement Specialist's Handbook, Second Edition written by Heather Taillon and published by HC Pro, Inc.. This book was released on 2011-01-21 with total page 171 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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
Book Synopsis The Physician Advisor's Guide to Clinical Documentation Integrity, Second Edition by : Trey La Charité
Download or read book The Physician Advisor's Guide to Clinical Documentation Integrity, Second Edition written by Trey La Charité and published by . This book was released on 2020-08 with total page 212 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Book Synopsis The Physician Advisor's Guide to Clinical Documentation Improvement by : Trey La Charité
Download or read book The Physician Advisor's Guide to Clinical Documentation Improvement written by Trey La Charité and published by . This book was released on 2014-04-30 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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
Book Synopsis The Clinical Documentation Improvement Specialist's Guide to ICD-10 by : Glenn Krauss
Download or read book The Clinical Documentation Improvement Specialist's Guide to ICD-10 written by Glenn Krauss and published by HC Pro, Inc.. This book was released on 2011-03 with total page 163 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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
Book Synopsis Clinical Documentation Reference Guide - First Edition by : AAPC
Download or read book Clinical Documentation Reference Guide - First Edition written by AAPC and published by AAPC. This book was released on 2020-03-12 with total page 13 pages. Available in PDF, EPUB and Kindle. Book excerpt: It's not the quantity of clinical documentation that matters—it's the quality. Is your clinical documentation improvement (CDI) program identifying your outliers? Does your documentation capture the level of ICD-10 coding specificity required to achieve optimal reimbursement? Are you clear on how to fix your coding and documentation shortfalls? Providing the most complete and accurate coding of diagnoses and site-specific procedures will vastly improve your practice’s bottom line. Get the help you need with the Clinical Documentation Reference Guide. This start-to-finish CDI primer covers medical necessity, joint/shared visits, incident-to billing, preventative care visits, the global surgical package, complications and comorbidities, and CDI for EMRs. Learn the all-important steps to ensure your records capture what your physicians perform during each encounter. Benefit from methods to effectively communicate CDI concerns and protocols to your providers. Leverage the practical and effective guidance in AAPC’s Clinical Documentation Reference Guide to triumph over your toughest documentation challenges. Prevent documentation deficiencies and keep your claims on track for optimal reimbursement: Understand the legal aspects of documentation Anticipate and avoid documentation trouble spots Keep compliance issues at bay Learn proactive measures to eliminate documentation problems Work the coding mantra—specificity, specificity, specificity Avoid common documentation errors identified by CERT and RACs Know the facts about EMR templates—and the pitfalls of auto-populate features Master documentation in the EMR with guidelines and tips Conquer CDI time-based coding for E/M The Clinical Documentation Reference Guide is approved for use during the CDEO® certification exam.
Author :Jennifer Avery Publisher :Hcpro, a Division of Simplify Compliance ISBN 13 :9781615692002 Total Pages :0 pages Book Rating :4.6/5 (92 download)
Book Synopsis The Clinical Documentation Improvement Specialist's Guide to ICD-10, Second Edition by : Jennifer Avery
Download or read book The Clinical Documentation Improvement Specialist's Guide to ICD-10, Second Edition written by Jennifer Avery and published by Hcpro, a Division of Simplify Compliance. This book was released on 2013-05-07 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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
Book Synopsis Clinical Documentation Improvement (CDI) Made Easy, 2nd Edition by : Anthony Nkwuaku
Download or read book Clinical Documentation Improvement (CDI) Made Easy, 2nd Edition written by Anthony Nkwuaku and published by Createspace Independent Publishing Platform. This book was released on 2018-02-24 with total page 264 pages. Available in PDF, EPUB and Kindle. Book excerpt: The book provides clear guides on how to perform the vital duties required in obtaining accurate, quality, complete, and specific documentation from the providers so as to reflect the quality of care, severity of illness and risk of mortality of admitted patients during their encounter to the hospital or inpatient rehab. The book is a "must have" for every CDIS or anyone involved in clinical documentation. The book has current ICD-10-CM/PCS update with pertinent information on the 2018 Official Coding Guidelines for Coding and Reporting, Coding Clinic advice, Pay for Performance, sample queries, various disease processes by MDCs, CDI strategy for success in inpatient rehab, rehab impairment group codes and categories, list of all the surgical and MS-DRGs, and much more. Remember, if it was not documented and documented accurately, it never happened.
Book Synopsis Pocket Guide to Quality Improvement in Healthcare by : Reneè Roberts-Turner
Download or read book Pocket Guide to Quality Improvement in Healthcare written by Reneè Roberts-Turner and published by Springer Nature. This book was released on 2021-05-21 with total page 333 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text will act as a quick quality improvement reference and resource for every role within the healthcare system including physicians, nurses, support staff, security, fellows, residents, therapists, managers, directors, chiefs, and board members. It aims to provide a broad overview of quality improvement concepts and how they can be immediately pertinent to one's role. The editors have used a tiered approach, outlining what each role needs to lead a QI project, participate as a team member, set goals and identify resources to drive improvements in care delivery. Each section of the book targets a specific group within the healthcare organization. Pocket Guide to Quality Improvement in Healthcare will guide the individual, as well as the organization to fully engage all staff in QI, creating a safety culture, and ultimately strengthening care delivery.
Book Synopsis 2021 CDI Pocket Guide by : Cynthia Tang
Download or read book 2021 CDI Pocket Guide written by Cynthia Tang and published by . This book was released on 2020-10-15 with total page 328 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis The Physician Advisor's Guide to Clinical Documentation Improvement by : Trey La Charité
Download or read book The Physician Advisor's Guide to Clinical Documentation Improvement written by Trey La Charité and published by . This book was released on 2014 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Post-Acute and Long-Term Medicine by : Pamela A. Fenstemacher
Download or read book Post-Acute and Long-Term Medicine written by Pamela A. Fenstemacher and published by Humana Press. This book was released on 2015-12-12 with total page 350 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book addresses current issues surrounding hospital readmissions and the practice of post-acute and long-term care (LTC). Thoroughly updated, the Second Edition of this practical pocket guide presents new regulations governing these services and lessens the uncertainty involved in caring for patients in a long-term care facility. The book is divided into four sections that cover: types of care, which include community care, nursing facility care, and teamwork; clinical medicine, with suggested approaches to common conditions and wound care; psychosocial aspects of care, which include ethical and legal issues and caring for families; and special issues, with chapters on documentation, coding, and medication management. As community-based care is an area of rapid growth where the elderly are increasingly seeking their medical care, new chapters have also been added that describe these programs. Written by expert contributors, many of whom have worked within the American Medical Directors Association to create and disseminate a knowledge base for post-acute and LTC, this is a valuable resource for clinicians and educators seeking to maximize the care and living experience of residents in post-acute and long-term care settings.
Book Synopsis The 2015 CDI Pocket Guide by : Richard D Pinson, MD, Facp, CCS
Download or read book The 2015 CDI Pocket Guide written by Richard D Pinson, MD, Facp, CCS and published by . This book was released on 2015-01-16 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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
Book Synopsis Improving Outcomes with Clinical Decision Support by : Jerome A. Osheroff, MD, FACP, FACMI
Download or read book Improving Outcomes with Clinical Decision Support written by Jerome A. Osheroff, MD, FACP, FACMI and published by HIMSS. This book was released on 2012 with total page 350 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Outpatient CDI Pocket Guide by : Richard Pinson
Download or read book Outpatient CDI Pocket Guide written by Richard Pinson and published by . This book was released on 2019-12-25 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis 2020 CDI Pocket Guide by : Pinson & Tang LLC
Download or read book 2020 CDI Pocket Guide written by Pinson & Tang LLC and published by . This book was released on 2019-10-05 with total page 290 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis The Clinical Documentation Improvement Specialist's Complete Training Guide by : Laurie L. Prescott
Download or read book The Clinical Documentation Improvement Specialist's Complete Training Guide written by Laurie L. Prescott and published by . This book was released on 2014-10-23 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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
