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.

Download or read book Potter Perry s Essentials of Nursing Practice SAE E book written by Patricia A. Potter and published by Elsevier Health Sciences. This book was released on 2021-06-16 with total page 869 pages. Available in PDF, EPUB and Kindle. Book excerpt: Potter and Perry's Essentials of Nursing Foundation is a widely appreciated textbook for the teaching–learning of nursing foundations. Its comprehensive coverage provides fundamental concepts, skills, and techniques of nursing practice in the areas of nursing foundation. This South Asian Edition of Potter and Perry's Essentials of Nursing Foundation not only provides the well-established authentic content of international standard but also caters to the specific curricular needs of nursing students and faculty of the region, as the content is exactly tailored according to the Indian Nursing Council curriculum. • Most Comprehensive: Content is presented comprehensively so that the textbook is very easy to read and comprehend. • Most Lucid: Content is very simple for non-English speaking Indian students. It is an easy to read, interesting, and involving disposition, which leads the reader through various facts of nursing foundation. • Indian Student friendly: Exactly as per syllabus prescribed by INC for B.Sc Nursing course and also useful for Diploma Nursing course. It has improved layout, design, and presentation through addition of images and illustrations. Many images have been replaced with Indian ones to provide regional feel of the content. • Region-specific content: There is inclusion of region-specific content, such as: o Nursing education, nursing cadres, registration, licensing, Indian medico-legal laws, health care delivery system, new trends of nursing in India o Updated detailed history of nursing in India o Major recent health policies in India, such as National Health Policy-2017 and Biomedical Waste Management rules-2016 o Code of Ethics for Nurses in India • Additional chapters: o Hospital admission and discharge o Equipment and linen o Diagnostic testing o First aid and emergencies "A complete and student friendly text in Nursing Foundation of Global standards with local appeal" Additional chapters: o Hospital admission and discharge o Equipment and linen o Diagnostic testing o First aid and emergencies

Download or read book Code of Ethics for Nurses with Interpretive Statements written by American Nurses Association and published by Nursesbooks.org. This book was released on 2001 with total page 42 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pamphlet is a succinct statement of the ethical obligations and duties of individuals who enter the nursing profession, the profession's nonnegotiable ethical standard, and an expression of nursing's own understanding of its commitment to society. Provides a framework for nurses to use in ethical analysis and decision-making.

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 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 385 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.

Download or read book Guide to Clinical Documentation written by Debra Sullivan and published by F.A. Davis. This book was released on 2011-12-22 with total page 301 pages. Available in PDF, EPUB and Kindle. Book excerpt: Develop the skills you need to effectively and efficiently document patient care for children and adults in clinical and hospital settings. This handy guide uses sample notes, writing exercises, and EMR activities to make each concept crystal clear, including how to document history and physical exams and write SOAP notes and prescriptions.

Download or read book Certified Documentation Improvement Practitioner CDIP Exam Preparation written by Sharon Easterling and published by Ahima Press. This book was released on 2016 with total page 139 pages. Available in PDF, EPUB and Kindle. Book excerpt:

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 Basic Nursing written by Patricia Ann Potter and published by . This book was released on 2003 with total page 1040 pages. Available in PDF, EPUB and Kindle. Book excerpt: Building on the strengths of the fourth edition, Basic Nursing: Essentials for Practice is back in a new edition! Thoroughly updated and revised to provide a more focused and engaging presentation, this new edition offers the basic principles, concepts, and skills needed by nursing students. The five-step nursing process returns to provide a consistent, logical organizational framework, with a clear writing style and numerous learning aids. An increased emphasis on caring, along with new boxes on Focused Client Assessment and Outcome Evaluation, reflect current practice trends. This new edition is better than ever! Five-Step Nursing Process provides a consistent organizational framework. More than 40 nursing skills are presented in a clear, 2-column format with rationales for all steps. Procedural Guidelines boxes provide streamlined step-by-step instructions for performing basic skills. Growth and Development chapter and age-related considerations throughout clinical chapters help prepare students to care for clients of all ages. Sample Nursing Care Plans highlight defining characteristics in assessment data, include client goals and expected outcomes in the planning section, and provide rationales for each nursing intervention. Progressive Case Studies follow the interactions of a client and nurse throughout the chapter to illustrate steps in the nursing process and develop critical thinking skills. Brief coverage of higher level concepts including research, theory, professional roles, and management, maintains the text's focus on essential, basic content. The narrative style makes the text more engaging and appealing. Focused Client Assessment boxes provide specific guidelines for factors to assess, questions and approaches, and physical assessment. Content on delegation is discussed throughout the narrative and specific guidelines are included for each skill. Skills now include Unexpected Outcomes and Interventions to alert for potential undesirable responses and provide appropriate nursing actions. Caring in Nursing is presented in a new chapter and as a thread throughout the text. Outcome Evaluation are based on the chapter's case study and provide guidelines on how to ask questions and evaluate care based on the answers received. NIC and NOC are discussed in the Nursing Process chapter to provide an overview of these taxonomies encountered in practice. NCLEX-style multiple-choice questions at the end of each chapter help students evaluate learning.

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.

Download or read book The Essential Guide to Coding in Otolaryngology written by Seth M. Brown and published by Plural Publishing. This book was released on 2021-09-07 with total page 473 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Essential Guide to Coding in Otolaryngology: Coding, Billing, and Practice Management, Second Edition is a comprehensive manual on how to properly and compliantly code for both surgical and non-surgical services. It is a practical guide for all otolaryngology providers in the United States, including physicians early in their career requiring a working knowledge of the basics, experienced providers looking to understand the latest updates with ICD-10-CM and CPT changes, related specialists (audiology, speech pathology, and physician extenders) providing otolaryngologic health care, and office administrative teams managing coding and billing. Included are sections on how to approach otolaryngology coding for all subspecialties in both the office and operating room. Foundational topics, such as understanding the CPT and ICD-10-CM systems, use of modifiers, managing claim submissions and appeals, legal implications for the provider, coding for physician extenders, and strategies to optimize billing, are presented by experts in the field. Focused on a practical approach to coding, billing, and practice management, this text is user-friendly and written for the practicing physician, audiologist, speech pathologist, physician extender, and coder. The income and integrity of a medical practice is tied to the effectiveness of coding and billing management. As profit margins are squeezed, the ability to optimize revenue by compliant coding is of the upmost importance. The Essential Guide to Coding in Otolaryngology: Coding, Billing, and Practice Management, Second Edition is vital not only for new physicians but for experienced otolaryngologists. New to the Second Edition: * Strategies for integrating revised guidelines for coding and documenting office visits * New and evolving office and surgical procedures, including Eustachian tube dilation and lateral nasal wall implants * Updated coding for endoscopic sinus surgery and sinus dilation * Billing for telehealth visits * Revision of all sub-specialty topics reflecting changes in coding and new technologies * New and revised audiologic diagnostic testing codes Key Features * All chapters written by practicing otolaryngologists, health care providers, practice managers, legal experts, and coding experts * Discussion of the foundations of coding, billing, and practice management as well as advanced and complex topics * Otolaryngology subspecialty-focused discussion of office-based and surgical coding * Tips on how to code correctly in controversial areas, including the use of unlisted codes * A robust index for easy reference

Download or read book The Future of Nursing written by Institute of Medicine and published by National Academies Press. This book was released on 2011-02-08 with total page 700 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles-including limits on nurses' scope of practice-should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing.

Download or read book Managed Care Credentialing written by Amy N. Niehaus and published by . This book was released on 2019 with total page 246 pages. Available in PDF, EPUB and Kindle. Book excerpt: The role of the MSP is expanding to include payer enrollment and delegated credentialing responsibilities for managed care organizations. Traditionally siloed, MSPs are now beginning to take on both responsibilities, which means they must learn the nuances of managed care credentialing as well as the regulatory and accreditation requirements of NCQA, CMS, and URAC. Managed Care Credentialing: Compliance Strategies for Health Plans, CVOs, and Delegated Entities provides the answers to MSPs' inevitable questions as they begin to manage the tasks of payer enrollment and delegated credentialing. Author Amy M. Niehaus guides readers through each payer's requirements, the differences between hospital and managed care credentialing, and how to help their organization establish delegated credentialing agreements and prepare for audits. As new and existing MSP responsibilities begin to collide, this resource also outlines ways MSPs can modify their current processes to reduce duplication of efforts and develop a comprehensive and compliant managed care credentialing program. Whether you are new to managed care credentialing or are taking on delegated credentialing responsibilities, this book will help you: Learn the regulatory and accreditation requirements related to managed care credentialing Streamline the provider enrollment process through delegation Meet your organizational goals of compliance, operational efficiency, cost savings, and practitioner satisfaction Identify the differences between hospital and managed care credentialing

Download or read book The Doctor of Nursing Practice Essentials written by Zaccagnini and published by Jones & Bartlett Publishers. This book was released on 2015-12-14 with total page 596 pages. Available in PDF, EPUB and Kindle. Book excerpt: The newly revised Third Edition of The Doctor of Nursing Practice Essentials: A New Model for Advanced Practice Nursing is the first text of its kind and is modeled after the eight DNP Essentials as outlined by the American Association of Colleges of Nursing (AACN). Important Notice: the digital edition of this book is missing some of the images or content found in the physical edition.

Download or read book Essentials of Nursing Research written by Denise Polit and published by Lippincott Williams & Wilkins. This book was released on 2020-12-30 with total page 629 pages. Available in PDF, EPUB and Kindle. Book excerpt: Updated to reflect the latest innovations in research methods, this worldwide bestseller helps students learn how to read and critically appearaise research reports, speak the language of nursing research, and develop an appreciation of research to enhance nursing practice. AJN award-winning authors Denise Polit and Cheryl Beck clearly and concisely present research essentials, dig into the research steps, and explore quantitative and qualitative research to ignite student curiosity and encourage students to pursue a professional pathway that incorporates thoughtful and effective appraisals of evidence.

Download or read book Essentials of Nursing Informatics 7th Edition written by Virginia K. Saba and published by McGraw Hill Professional. This book was released on 2021-03-22 with total page 929 pages. Available in PDF, EPUB and Kindle. Book excerpt: The single best resource for learning how technology can make the nursing experience as rewarding and successful as possible Doody's Core Titles for 2021! Essentials of Nursing Informatics provides the information and insights readers need to manage and process data to improve the quality and outcomes of healthcare. Topics include the use of computers in nursing administration, practice, education, and research; computer systems and information theory; electronic medical records, continuum of care information technology systems, and personal health records; coding; and government, clinical, and private sector system requirements. This revised and updated edition covers the latest changes in technology, administration, policy, and their effects on healthcare informatics in the U.S., with contributing international authors from Canada, South America, Europe, Asia, Australia, and New Zealand. The seventh edition includes section summaries, and each chapter includes sample test questions and answers. This updated seventh edition covers: Nursing Informatics Technologies Nursing Practice Applications System Standards Advanced Applications for the 4th Nursing IT Revolution System Life Cycle Educational Applications Informatics Theory Standards Research Applications Policies and Quality Measures in Healthcare

Download or read book The Ethics of Biomedical Big Data written by Brent Daniel Mittelstadt and published by Springer. This book was released on 2016-08-03 with total page 478 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book presents cutting edge research on the new ethical challenges posed by biomedical Big Data technologies and practices. ‘Biomedical Big Data’ refers to the analysis of aggregated, very large datasets to improve medical knowledge and clinical care. The book describes the ethical problems posed by aggregation of biomedical datasets and re-use/re-purposing of data, in areas such as privacy, consent, professionalism, power relationships, and ethical governance of Big Data platforms. Approaches and methods are discussed that can be used to address these problems to achieve the appropriate balance between the social goods of biomedical Big Data research and the safety and privacy of individuals. Seventeen original contributions analyse the ethical, social and related policy implications of the analysis and curation of biomedical Big Data, written by leading experts in the areas of biomedical research, medical and technology ethics, privacy, governance and data protection. The book advances our understanding of the ethical conundrums posed by biomedical Big Data, and shows how practitioners and policy-makers can address these issues going forward.