The Physician Advisor's Guide to Clinical Documentation Integrity, Second Edition

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Publisher :
ISBN 13 : 9781645350224
Total Pages : 212 pages
Book Rating : 4.3/5 (52 download)

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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.

The Physician Advisor's Guide to Clinical Documentation Improvement

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Publisher :
ISBN 13 : 9781615693474
Total Pages : 0 pages
Book Rating : 4.6/5 (934 download)

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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

The Physician Advisor's Guide to Clinical Documentation Improvement

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Publisher :
ISBN 13 : 9781556451638
Total Pages : pages
Book Rating : 4.4/5 (516 download)

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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:

The Clinical Documentation Improvement Specialist's Handbook, Second Edition

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Publisher : HC Pro, Inc.
ISBN 13 : 1601467753
Total Pages : 171 pages
Book Rating : 4.6/5 (14 download)

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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

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

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Publisher : Hcpro, a Division of Simplify Compliance
ISBN 13 : 9781615692002
Total Pages : 0 pages
Book Rating : 4.6/5 (92 download)

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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

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

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Publisher : HC Pro, Inc.
ISBN 13 : 1601468172
Total Pages : 163 pages
Book Rating : 4.6/5 (14 download)

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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

Inpatient (IPPS) Documentation Tips for Physician Advisors, Hospitalists and Providers - 5th Edition

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Publisher : DocuComp(R) LLC Press
ISBN 13 : 9780983043133
Total Pages : pages
Book Rating : 4.0/5 (431 download)

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Book Synopsis Inpatient (IPPS) Documentation Tips for Physician Advisors, Hospitalists and Providers - 5th Edition by : Betty Bibbins

Download or read book Inpatient (IPPS) Documentation Tips for Physician Advisors, Hospitalists and Providers - 5th Edition written by Betty Bibbins and published by DocuComp(R) LLC Press. This book was released on 2017-03-17 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Compliance pocket guide of inpatient, outpatient observation (including the 2 midnight rule) clinical diagnostic, medical necessity and quality of care documentation for ICD-10.

Inpatient (IPPS) Documentation Tips for Physician Advisors, Hospitalists and Providers 4th Edition

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ISBN 13 : 9780983043119
Total Pages : pages
Book Rating : 4.0/5 (431 download)

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Book Synopsis Inpatient (IPPS) Documentation Tips for Physician Advisors, Hospitalists and Providers 4th Edition by : Betty B. Bibbins

Download or read book Inpatient (IPPS) Documentation Tips for Physician Advisors, Hospitalists and Providers 4th Edition written by Betty B. Bibbins and published by . This book was released on 2016-07-01 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Compliance pocket guide for inpatient clinical diagnostic, medical necessity, and quality of care documentation.

Clinical Documentation Reference Guide - First Edition

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Publisher : AAPC
ISBN 13 : 1626889791
Total Pages : 13 pages
Book Rating : 4.6/5 (268 download)

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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.

Inpatient (IPPS) Documentation Tips for Physician Advisors, Hospitalists and Providers - 4th Edition

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Publisher : DocuComp(R) LLC Press
ISBN 13 : 9780983043126
Total Pages : pages
Book Rating : 4.0/5 (431 download)

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Book Synopsis Inpatient (IPPS) Documentation Tips for Physician Advisors, Hospitalists and Providers - 4th Edition by : Betty B. Bibbins

Download or read book Inpatient (IPPS) Documentation Tips for Physician Advisors, Hospitalists and Providers - 4th Edition written by Betty B. Bibbins and published by DocuComp(R) LLC Press. This book was released on 2016-07-01 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Compliance pocket guide of inpatient, outpatient observation (including the two midnight rule) clinical diagnostic, medical necessity, and quality of care documentation for ICD-10.

Guide to Clinical Documentation

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Publisher : F.A. Davis
ISBN 13 : 0803669992
Total Pages : 416 pages
Book Rating : 4.8/5 (36 download)

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Book Synopsis Guide to Clinical Documentation by : Debra D Sullivan

Download or read book Guide to Clinical Documentation written by Debra D Sullivan and published by F.A. Davis. This book was released on 2018-07-25 with total page 416 pages. Available in PDF, EPUB and Kindle. Book excerpt: Understand the when, why, and how! Here’s your guide to developing the skills you need to master the increasing complex challenges of documenting patient care. Step by step, a straightforward ‘how-to’ approach teaches you how to write SOAP notes, document patient care in office and hospital settings, and write prescriptions. You’ll find a wealth of examples, exercises, and instructions that make every point clear and easy to understand.

Physician Queries Handbook, Second Edition

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Publisher :
ISBN 13 : 9781615692026
Total Pages : 0 pages
Book Rating : 4.6/5 (92 download)

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Book Synopsis Physician Queries Handbook, Second Edition by : Marion Kruse

Download or read book Physician Queries Handbook, Second Edition written by Marion Kruse and published by . This book was released on 2013-05 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Physician Queries Handbook, Second Edition The second edition of thePhysician Queries Handbook is the authoritative source for defining policies, procedures, and best practices for physician queries. Take a walk through the evolution of query practices and discover how government and industry guidance has changed through the years. Learn how to develop query policies and procedures that take into account the latest query practice brief information. Discover how to update your CDI practices to meet the challenges of ICD-10-CM/PCS implementation, Recovery Auditor challenges, and other payer initiatives. New to the second edition! ACDIS/AHIMA 2013 physician query practice brief Sample queries for ICD-9 and ICD-10Benchmarking reports to assess query practices Tips for tracking and assessing query efforts Guidance to adapt query efforts for new government payer initiatives such as value-based purchasing Other topics covered include: Regulatory impact on physician queries ICD-9-CM, Coding Clinic, MS-DRGs, AHIMA, CMS, and OIG clarifications Query process infrastructure Enlisting internal facility support Developing query roles Defining CDI program organizational structure Prospective, concurrent, and retrospective queries Re-defining query formats Verbal vs. written Leading Multiple choice queries Yes/No queries Physician Queries Handbook, 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.

Optimizing the Physician Advisor in Case Management

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Publisher : HC Pro, Inc.
ISBN 13 : 9781601462848
Total Pages : 172 pages
Book Rating : 4.4/5 (628 download)

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Book Synopsis Optimizing the Physician Advisor in Case Management by : Mark S. Michelman

Download or read book Optimizing the Physician Advisor in Case Management written by Mark S. Michelman and published by HC Pro, Inc.. This book was released on 2008-11 with total page 172 pages. Available in PDF, EPUB and Kindle. Book excerpt: Foster effective relationships between case management and physicians with a strong physician advisor program. With increasing federal compliance regulations, there has never been a greater need to have a physician advisor (PA) on staff to provide your case management team with more support to achieve your organizational goals. Whether you're building a new PA program or want to revitalize an existing one, the new HCPro book Optimizing the Physician Advisor in Case Management: A Guide to Creating and Sustaining Measurable Program Results delivers the guidance you need to improve the chain of communication across the continuum of care. Written by Mark Michelman, MD, MBA, Sharon Mass, PhD, LCSW, ACM, and Donna Ukanowicz, MS, RN, ACM, the book combines the perspectives of a physician advisor, nursing case manager, and social work case manager. The book is the industry's first resource that provides: Easy-to-follow steps to create or revamp your program Tips to recruit and train PAs Strategies for defining measurable goals and effective PA responsibilities Analysis methods for evaluating need and justifying resources Metrics to measure your success A CD-ROM loaded with adaptable tools and forms

Clinical Documentation Improvement

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Publisher : Createspace Independent Publishing Platform
ISBN 13 : 9781519538185
Total Pages : 246 pages
Book Rating : 4.5/5 (381 download)

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Book Synopsis Clinical Documentation Improvement by : Rn Phn Nkwuaku, Msn Cphq

Download or read book Clinical Documentation Improvement written by Rn Phn Nkwuaku, Msn Cphq and published by Createspace Independent Publishing Platform. This book was released on 2015-12-17 with total page 246 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Registries for Evaluating Patient Outcomes

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Publisher : Government Printing Office
ISBN 13 : 1587634333
Total Pages : 396 pages
Book Rating : 4.5/5 (876 download)

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Book Synopsis Registries for Evaluating Patient Outcomes by : Agency for Healthcare Research and Quality/AHRQ

Download or read book Registries for Evaluating Patient Outcomes written by Agency for Healthcare Research and Quality/AHRQ and published by Government Printing Office. This book was released on 2014-04-01 with total page 396 pages. Available in PDF, EPUB and Kindle. Book excerpt: This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.

CDI Companion for Physician Advisors

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Publisher : Hcpro, a Division of Simplify Compliance
ISBN 13 : 9781683081708
Total Pages : 0 pages
Book Rating : 4.0/5 (817 download)

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Book Synopsis CDI Companion for Physician Advisors by : Trey La Charité

Download or read book CDI Companion for Physician Advisors written by Trey La Charité and published by Hcpro, a Division of Simplify Compliance. This book was released on 2016-11 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: When it comes to clinical documentation, physician advisors have a range of important responsibilities, from query escalation to denials management and everything in between. With all these tasks on their plate, physician advisors are constantly pulled in different directions, making it hard to make the best use of their time. CDI Companion for Physician Advisors: Notes From the Field is designed to help physician advisors structure their time properly and carry out their CDI duties effectively and efficiently. This book will help physician advisors: Find their feet in the CDI role Identify tools to provide effective documentation education for physicians and CDI staff Engage medical staff in documentation improvement efforts Understand common documentation deficiencies for difficult diagnoses such as sepsis, heart failure, and kidney disease Work with their CDI team to tackle advanced record reviews in areas such as quality, audit defense, and outpatient HCCs Figure out how to best structure their time to carry out CDI duties

The CCDS Exam Study Guide

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Publisher : HC Pro, Inc.
ISBN 13 : 1601467206
Total Pages : 155 pages
Book Rating : 4.6/5 (14 download)

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Book Synopsis The CCDS Exam Study Guide by :

Download or read book The CCDS Exam Study Guide written by and published by HC Pro, Inc.. This book was released on 2010 with total page 155 pages. Available in PDF, EPUB and Kindle. Book excerpt: