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CDI Pocket Guide for ICD-10-AM and AR-DRGs
ICD-10-CM 2021: The Complete Official Codebook provides the entire updated code set for diagnostic coding, organized to make the challenge of accurate coding easier. This codebook is the cornerstone for establishing medical necessity, determining coverage and ensuring appropriate reimbursement. Each of the 21 chapters in the Tabular List of Diseases and Injuries is organized to provide quick and simple navigation to facilitate accurate coding. The book also contains supplementary appendixes including a coding tutorial, pharmacology listings, a list of valid three-character codes and additional information on Z-codes for long-term drug use and Z-codes that can only be used as a principal diagnosis. Official coding guidelines for 2021 are bound into this codebook. FEATURES AND BENEFITS Full list of code changes. Quickly see the complete list of new, revised, and deleted codes affecting the FY 2021 codes, including a conversion table and code changes by specialty. QPP symbol in the tabular section. The symbol identifies diagnosis codes associated with Quality Payment Program (QPP) measures under MACRA. New and updated coding tips. Obtain insight into coding for physician and outpatient settings. New and updated definitions in the tabular listing. Assign codes with confidence based on illustrations and definitions designed to highlight key components of the disease process or injury and provide better understanding of complex diagnostic terms. Intuitive features and format. This edition includes full-color illustrations and visual alerts, including color-coding and symbols that identify coding notes and instructions, additional character requirements, codes associated with CMS hierarchical condition categories (HCC), Medicare Code Edits (MCEs), manifestation codes, other specified codes, and unspecified codes. Placeholder X. This icon alerts the coder to an important ICD-10-CM convention--the use of a "placeholder X" for three-, four- and five-character codes requiring a seventh character extension. Coding guideline explanations and examples. Detailed explanations and examples related to application of the ICD-10-CM chapter guidelines are provided at the beginning of each chapter in the tabular section. Muscle/tendon translation table. This table is used to determine muscle/tendon action (flexor, extensor, other), which is a component of codes for acquired conditions and injuries affecting the muscles and tendons Index to Diseases and Injuries. Shaded guides to show indent levels for subentries. Appendices. Supplement your coding knowledge with information on proper coding practices, risk adjustment coding, pharmacology, and Z codes.
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
ICD-10-CM updates effective October 1, 2020. New for this edition--Review quizzes to help the reader differentiate between codes for mother and baby, musculoskeletal system and injury, and poisoning, adverse effects, toxic effects and underdosing. This book was developed by a certified coding teacher to help her students and others understand the complicated and confusing coding guides. It translates the guidelines into plain English and places them into tables for easy reference. See also Coding Made Easy books on PCS, External Causes, and E/M coding.
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
30-day trial to TruCode® Encoder Essentials gives you experience with using an encoder, plus access to additional encoder practice exercises on the Evolve website. ICD-10-CM and ICD-10-PCS Official Guidelines for Coding and Reporting provide fast, easy access to instructions on proper application of codes. Coverage of both common and complex procedures prepares you for inpatient procedural coding using ICD-10-PCS. Numerous and varied examples and exercises within each chapter break chapters into manageable segments and help reinforcing important concepts. Illustrations and examples of key diseases help in understanding how commonly encountered conditions relate to ICD-10-CM coding. Strong coverage of medical records provides a context for coding and familiarizes you with documents you will encounter on the job. Illustrated, full-color design emphasizes important content such as anatomy and physiology and visually reinforces key concepts.
The Pocket Guide of ICD-10-CM and ICD-10-PCS is your source for gaining a basic understanding of ICD-10-CM and ICD-10-PCS. HIM and coding professionals-as well as information technology department staff and vendors-need this crucial information during the transition from ICD-9 to ICD-10-CM/PCS. Working in an HIM-related field? Worried about understanding the upcoming changes? Skim this brief overview and summary of ICD-10 instead of wading through pages of ICD-10-CM/PCS information with little or no relevance to your section of the field. Written by nationally recognized experts on ICD-10-CM/PCS, so you'll know it's information you can trust.
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.
These guidelines have been approved by the four organizations that make up the Cooperating Parties for the ICD-10-CM: the American Hospital Association (AHA), the American Health Information Management Association (AHIMA), CMS, and NCHS. These guidelines are a set of rules that have been developed to accompany and complement the official conventions and instructions provided within the ICD-10-CM itself. The instructions and conventions of the classification take precedence over guidelines. These guidelines are based on the coding and sequencing instructions in the Tabular List and Alphabetic Index of ICD-10-CM, but provide additional instruction. Adherence to these guidelines when assigning ICD-10-CM diagnosis codes is required under the Health Insurance Portability and Accountability Act (HIPAA). The diagnosis codes (Tabular List and Alphabetic Index) have been adopted under HIPAA for all healthcare settings. A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and reporting of diagnoses and procedures. These guidelines have been developed to assist both the healthcare provider and the coder in identifying those diagnoses that are to be reported. The importance of consistent, complete documentation in the medical record cannot be overemphasized. Without such documentation accurate coding cannot be achieved. The entire record should be reviewed to determine the specific reason for the encounter and the conditions treated.