Download or read book Outpatient CDI Pocket Guide written by Richard Pinson and published by . This book was released on 2017-09-14 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book 2022 ACDIS Outpatient Pocket Guide written by Laurie L. Prescott and published by . This book was released on 2021 with total page 430 pages. Available in PDF, EPUB and Kindle. Book excerpt: CDI professionals need a day-to-day reference when conducting their outpatient medical record reviews--one that can provide trusted clinical indicators for compliant and effective physician clarifications, and at-a-glance, easy-to-use diagnosis and Hierarchical Condition Category (HCC) references. The 2021 ACDIS Outpatient Pocket Guide is the essential resource for outpatient coding guidance, HCC updates, compliant query best practices and standards, E/M requirements, and diagnostic definitions. Co-written by ACDIS' CDI Education Director Laurie Prescott, RN, MSN, CCDS, CDIP, CRC, CCDS-O, James Manz, MD, CCDS-O, a practicing physician at the Mayo Clinic steeped in the latest physician documentation terminology, and Autumn Reiter, BSN, RN, CCDS, CCDS-O, CDIP, CCS, director of clinical documentation improvement for CorroHealth, the 2021 ACDIS Outpatient Pocket Guide is a winning combination of practical, tailored CDI tips and resources, helpful references including ICD-10-CM code mappings organized by HCC, and clinical, regulatory, and coding guidance adapted from the official sources.
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:
Download or read book First Steps in Outpatient CDI written by Anny Pang Yuen and published by . This book was released on 2017-06-22 with total page 134 pages. Available in PDF, EPUB and Kindle. Book excerpt: First Steps in Outpatient CDI: Tips and Tools for Building a Program Anny P. Yuen, RHIA, CCS, CCDS, CDIP Page Knauss, BSN, RN, LNC, ACM, CPC, CDEO Find best practices and helpful advice for getting started in outpatient CDI with First Steps in Outpatient CDI: Tips and Tools for Building a Program. This first-of-its-kind book provides an overview of what outpatient CDI entails, covers industry guidance and standards for outpatient documentation, reviews the duties of outpatient CDI specialists, and examines how to obtain backing from leadership. Accurate documentation is important not just for code assignment, but also for a variety of quality and reimbursement concerns. In the past decade, outpatient visits increased by 44% while hospital visits decreased by nearly 20%, according to the Medicare Payment Advisory Commission. However, just because physicians are outside the hospital walls doesn't mean they're free from documentation challenges. For these reasons, CDI programs are offering their assistance to physician practices, ambulatory surgical centers, and even emergency rooms. This book will explore those opportunities and take a look at how others are expanding their record review efforts in the outpatient world. This book will help you: Target the outpatient settings that offer the greatest CDI opportunities Understand the quality and payment initiatives affecting outpatient services Understand the coding differences between inpatient and outpatient settings Identify data targets Incorporate physician needs to ensure support for program expansion Assess needs by program type
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.
Download or read book 2022 CDI Pocket Guide written by Pinson & Tang LLC and published by . This book was released on 2021-10-15 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The 2014 CDI Pocket Guide written by Richard D Pinson, MD, Facp, CCS and published by . This book was released on 2014-03 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The 2014 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 2014 edition includes critical new updates from the 2014 IPPS Final Rule, and additional ICD-10 documentation tips to ensure you are ready for the national Oct. 1, 2014 compliance deadline.
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:
Download or read book 2013 CDI Pocket Guide written by Cynthia Tang and published by . This book was released on 2012-12 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The 2013 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 Dr. Richard Pinson and Cynthia Tang 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. What's Inside * A portable 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 * Clinical indicators to help identify documentation opportunities and formulate an appropriate query to the physician * 2013 DRG table with relative weights, GMLOS, and transfer DRG indicator Also included in this edition is an ICD-10 overview and a preview of the ICD-10 changes in each of the individual sections.
Download or read book The Physician Documentation Improvement Pocket Guide Third Edition written by Cheryl Ericson and published by . This book was released on 2014-10-22 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Physician Documentation Improvement Pocket Card, Third Edition (Packs of 25) Cheryl Ericson, MS, RN, CCDS, CDIP, AHIMA-Approved ICD-10-CM/PCS Trainer Sold in packages of 25! Use the Physician Documentation Improvement Pocket Card, Third 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 2014, this third edition simplifies tips to common documentation improvement opportunities. 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: Provides documentation basics for the short-term acute care inpatient setting Includes tips for discharge summary documentation Details documentation needed to establish a condition as a reportable diagnosis Presents key reminders for documentation to reflect patient acuity Offers advice for how to differentiate among acute, chronic, and resolved conditions Helps providers translate commonly vague documentation of a patient's chief complaint into a more precisely associated diagnosis Includes both printed pocket card and online PDF formats Folds for physicians to carry in their pockets and is laminated for durability and easy cleaning The latest edition of the Physician Documentation Improvement Pocket Card helps you improve patient acuity and severity by focusing on common areas of vague and nonspecific physician documentation. ACDIS Education Director and lead CDI Boot Camp instructor Cheryl Ericson brings her vast experience to bear in creating a simple to follow, easy to use tip sheet and accompanying user's guide to help improve your physicians' documentation. Online user manual will explain how to use the pocket cards and explain some CDI basics.
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
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
Download or read book 2025 CDI Pocket Guide written by Pinson & Tang LLC and published by . This book was released on 2024-11 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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
Download or read book Pocket Guide to GastrointestinaI Drugs written by M. Michael Wolfe and published by John Wiley & Sons. This book was released on 2014-01-02 with total page 222 pages. Available in PDF, EPUB and Kindle. Book excerpt: Learn all you need to know about gastrointestinal drugs and their clinical use with this one-stop, rapid reference pocket guide. Brought to you by many of the world's leading GI drug experts, Pocket Guide to Gastrointestinal Drugs provides comprehensive guidance to the pharmacological properties of drugs used to treat gastrointestinal conditions, including mechanisms of action, appropriate administration, and potential adverse effects associated with their use. Organized by class of drug and ranging from PPIs to immunosupressants, each chapter first examines the specific agents within that class and then their appropriate and judicious use across a range of specific GI disorders. Key features include: Introduction of drug class Basic pharmacology, including mechanism of action, bioavailability, metabolism, interactions, adverse effects, toxicity, and special considerations Dosing information for each GI condition and on- and off-label use Consistent use of both generic and trade names throughout Specific reference to drug use in pediatric patients and during pregnancy Perfect for quick consultation on the wards and in the office, Pocket Guide to Gastrointestinal Drugs is the ideal tool for all those managing patients with GI conditions, including gastroenterologists, GI trainees, emergency physicians, GI specialist nurses, primary care physicians and residents, intensivists and pharmacists.
Download or read book 2021 CDI Pocket Guide for ICD 10 AM written by Pinson & Tang LLC and published by . This book was released on 2020-09 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: CDI Pocket Guide for ICD-10-AM and AR-DRGs
Download or read book The 2014 CDI Pocket Guide written by Richard D Pinson, MD, Facp, CCS and published by . This book was released on 2014-03-31 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The 2014 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 2014 edition includes critical new updates from the 2014 IPPS Final Rule, and additional ICD-10 documentation tips to ensure you are ready for the national Oct. 1, 2015 compliance deadline. Also new in this edition: New criteria for recognizing Acute Respiratory Failure Documentation strategies to address ICD-10 challenges New Key References with clinical indicators to support queries for HIV/AIDS, pericarditis, acute myocardial infarction APR-DRG overview and its impact on severity and mortality Strategies to effectively identify and capture diagnoses that impact APR-DRGs Severity levels for the key MCCs and CCs and a listing of other important diagnoses that impact APR-DRGs Updates to the Hospital Acquired Conditions (HAC) list with new section on Patient Safety Indicators (PSI) Tips to improve Pay for Performance and Value-Based Purchasing metrics 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 Clinical indicators to help identify documentation opportunities and formulate an appropriate query to the physician 2014 DRG table with relative weights, GMLOS, and transfer DRG indicator
