Download or read book Quality Medical Editing for the Healthcare Documentation Specialist written by Patricia Ireland and published by Cengage Learning. This book was released on 2015-03-09 with total page 272 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ideal for classroom use, individual study, or professional training, QUALITY MEDICAL EDITING FOR THE HEALTHCARE DOCUMENTATION SPECIALIST, First Edition, is a timely, unique text designed to teach and reinforce essential skills for medical editors. Comprehensive in scope, this practical guide explains the differences between medical editing and traditional transcription; how to use technology, word expander programs, and computer accessories effectively; and ways to improve accuracy--including developing excellent listening skills and the ability to correctly decipher accents, identify medications, and distinguish soundalikes. The authors have also provided a variety of sample reports--including more than 200 medical reports and their corresponding dictation audio files. Reports span numerous specialties and document types, creating extensive opportunities to learn the medical editing process, practice formatting and editing, and become familiar with common errors produced by speech recognition. The text also features extensive information on professional development, continuing education, and earning credentials, as well as useful tips on gaining experience, finding employment, and advancing one's career. Abundant teaching and learning features--such as material on grammar and punctuation, review activities, critical-thinking exercises, and several appendices with key references and resources--make this text even more valuable for current and aspiring medical editors seeking career success. Important Notice: Media content referenced within the product description or the product text may not be available in the ebook version.
Download or read book Clinical Documentation Specialist The Comprehensive Guide written by VIRUTI SHIVAN and published by Viruti Satyan Shivan. This book was released on with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dive into the essential world of clinical documentation with "Clinical Documentation Specialist - The Comprehensive Guide," a pivotal resource designed for healthcare professionals committed to excellence in patient care through meticulous record-keeping. This guide offers a deep dive into the principles of accurate and compliant medical documentation, highlighting its critical role in ensuring optimal patient outcomes and the seamless operation of healthcare systems. With an emphasis on practical strategies, real-world applications, and the latest compliance standards, this book serves as an invaluable tool for both aspiring and experienced clinical documentation specialists. By focusing on enhancing communication between healthcare providers and supporting the delivery of high-quality care, it addresses the challenges and complexities of modern medical documentation practices. Without relying on images or illustrations for clarity, the guide stands out for its comprehensive coverage and insightful analysis, making it a unique addition to the professional library of healthcare providers. It transcends basic instructional material by weaving in theoretical knowledge with actionable advice, empowering readers to navigate the nuanced landscape of healthcare documentation with confidence. The absence of visual elements is more than compensated for by the depth of knowledge and the engaging writing style, ensuring that readers are equipped with the knowledge and skills necessary to make a significant impact in their roles as guardians of patient information and care continuity.
Download or read book Clinical Documentation Specialist The Comprehensive Guide written by Viruti Shivan and published by Viruti Shivan. This book was released on 2024-03-28 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Mastering the Art of Medical Record Accuracy and Compliance for Enhanced Patient Care Dive into the essential world of clinical documentation with "Clinical Documentation Specialist - The Comprehensive Guide," a pivotal resource designed for healthcare professionals committed to excellence in patient care through meticulous record-keeping. This guide offers a deep dive into the principles of accurate and compliant medical documentation, highlighting its critical role in ensuring optimal patient outcomes and the seamless operation of healthcare systems. With an emphasis on practical strategies, real-world applications, and the latest compliance standards, this book serves as an invaluable tool for both aspiring and experienced clinical documentation specialists. By focusing on enhancing communication between healthcare providers and supporting the delivery of high-quality care, it addresses the challenges and complexities of modern medical documentation practices. Without relying on images or illustrations for clarity, the guide stands out for its comprehensive coverage and insightful analysis, making it a unique addition to the professional library of healthcare providers. It transcends basic instructional material by weaving in theoretical knowledge with actionable advice, empowering readers to navigate the nuanced landscape of healthcare documentation with confidence. The absence of visual elements is more than compensated for by the depth of knowledge and the engaging writing style, ensuring that readers are equipped with the knowledge and skills necessary to make a significant impact in their roles as guardians of patient information and care continuity.
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 Quality Medical Editing for the Healthcare Documentation Specialist written by Patricia Ireland and published by . This book was released on 2015-03-20 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ideal for classroom use, individual study, or professional training, QUALITY MEDICAL EDITING FOR THE HEALTHCARE DOCUMENTATION SPECIALIST, First Edition, is a timely, unique text designed to teach and reinforce essential skills for medical editors. Comprehensive in scope, this practical guide explains the differences between medical editing and traditional transcription; how to use technology, word expander programs, and computer accessories effectively; and ways to improve accuracy--including developing excellent listening skills and the ability to correctly decipher accents, identify medications, and distinguish soundalikes. The authors have also provided a variety of sample reports--including more than 200 medical reports and their corresponding dictation audio files. Reports span numerous specialties and document types, creating extensive opportunities to learn the medical editing process, practice formatting and editing, and become familiar with common errors produced by speech recognition. The text also features extensive information on professional development, continuing education, and earning credentials, as well as useful tips on gaining experience, finding employment, and advancing one's career. Abundant teaching and learning features--such as material on grammar and punctuation, review activities, critical-thinking exercises, and several appendices with key references and resources--make this text even more valuable for current and aspiring medical editors seeking career success.
Download or read book Microsoft Word for Healthcare Documentation written by Laura Bryan and published by . This book was released on 2010-03-24 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Microsoft Word for Healthcare Documentation: A Guide for Transcriptionists, Editors, and Health Information Professionals, Fourth Edition has been updated to include Word 2003 and 2007 and the fundamental features of Windows XP and Windows Vista, along with more time-saving shortcuts to help transcriptionists, editors, and health information specialists maximize their use of Microsoft Word and increase productivity and profit. This is among the only books written specifically for medical transcriptionists and other health information professionals by a medical transcriptionist. Geared to both students and professionals, the text includes a full suite of ancillaries including a quiz bank, document formatting exercises, sample templates, videos, and macros. The popular workbook that was formerly sold separately is now integrated into the text.
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 Successful Collaboration in Healthcare written by Colleen Stukenberg and published by CRC Press. This book was released on 2010-01-27 with total page 138 pages. Available in PDF, EPUB and Kindle. Book excerpt: This critically acclaimed work makes the case for collaboration and shows that it can be greatly enhanced with conscious understanding and systematic effort. As a healthcare specialist who has worn many hats from direct care giver to case manager to documentation specialist, Colleen Stukenberg is able toShow how to build trust and communicat
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
Download or read book The Book of Style for Medical Transcription written by Lea M. Sims and published by . This book was released on 2008-06 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Hillcrest Medical Center Healthcare Documentation and Medical Transcription written by Patricia Ireland and published by Cengage Learning. This book was released on 2017-01-27 with total page 396 pages. Available in PDF, EPUB and Kindle. Book excerpt: This innovative text uses a simulation approach to give readers interested in healthcare documentation and medical transcription careers a working knowledge of medical reports common in both acute and chronic care settings. Readers have access to transcription of 107 patient medical reports, including 56 new reports exclusive to the Eighth Edition. This edition also features 20 new speech recognition technology/medical editing (SRT) reports, as well as information on electronic health records (EHRs), quality assurance (QA), and scribes to keep readers up-to-date on the latest advances in the field. Organized by body system, the text includes full-color anatomy and physiology illustrations to make medical terminology easier to master. In addition, the authors have included a review of proper formatting, grammar, and style in accordance with the AHDI's BOOK OF STYLE, and a master glossary list compiles key terms in one section for convenient study and quick reference. Important Notice: Media content referenced within the product description or the product text may not be available in the ebook version.
Download or read book Stanfield s Introduction to Health Professions written by Nanna Cross and published by Jones & Bartlett Learning. This book was released on 2022-02-04 with total page 594 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Introduction to the Health Professions provides comprehensive coverage of all the major health professions. The Eighth Edition includes the 75 careers and touches on every major facet of the field. Training requirements, job responsibilities, and salaries are also described. In addition, this resource provides a thorough review of the U.S. healthcare delivery system, managed care, health care financing, reimbursement, insurance coverage, Medicare, Medicaid, and the impact of new technology on healthcare services"--
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.
Download or read book Subcommittee on Regulations and Healthcare Hearing on Health IT Adoption and the New Challenges Faced by Solo and Small Group Health Care Practices written by United States. Congress. House. Committee on Small Business. Subcommittee on Regulations and Healthcare and published by . This book was released on 2009 with total page 120 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Healthcare Documentation written by Ellen A. Drake and published by Prentice Hall. This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ideal for learners with no prior experience and those seeking refresher training, Healthcare Documentation: Fundamentals and Practice, 4/e is the most comprehensive healthcare documentation learning system available. It begins with a thorough overview of the medicolegal and technology aspects of healthcare documentation, including key trends such as electronic health records, security, privacy, and speech recognition. Next, it provides integrated content linked to 10 hours of authentic medical dictation practice. Extensive exercises in the text combine with online audio exercises to systematically reinforce core knowledge and build critical thinking, editing, and research skills. The final chapter focuses on finding employment and preparing students for the workplace, professional development, and continuing education. This edition has been extensively revised for the latest industry trends and techniques, contains many new learning features, and offers a compelling new full-color design with many new illustrations.
Download or read book Healthcare Writing written by Michael A. Arntfield and published by Broadview Press. This book was released on 2016-08-15 with total page 250 pages. Available in PDF, EPUB and Kindle. Book excerpt: Notable for its use of real document examples drawn from actual healthcare settings, in addition to its central section’s extended focus on narrative medicine and new media writing, Healthcare Writing: A Practical Guide to Professional Success provides a wide-ranging, much-needed contemporary perspective on the modes and contexts of writing most pertinent to today’s healthcare professionals. Aimed at students enrolled in university- or college-level healthcare programs, healthcare communication specialists, as well as at current clinical practitioners seeking a portable reference and guide, this book combines a detailed discussion of approaches to key healthcare document types—both professional and academic—with a thorough but accessible overview of essential points of grammar, punctuation, and style.
Download or read book True Medical Documentation Fails written by Darlene Maslek Colaianni and published by . This book was released on 2020-09-13 with total page 34 pages. Available in PDF, EPUB and Kindle. Book excerpt: As a Clinical Documentation Specialist (CDS) I reviewed documentation dictated and manually entered into the Electronic Medical Record (EMR) by Physicians. So many fails. My job was to bring these fails to the attention of the doctors and help them ensure accuracy and compliance. Over several years I collected these memorable fails and wanted to share the most hilarious and puzzling ones with you. I hope you enjoy them as much as I did when I came across them in a chart.
