Clinical Documentation Reference Guide - First Edition

Clinical Documentation Reference Guide - First Edition
Title Clinical Documentation Reference Guide - First Edition PDF eBook
Author AAPC
Publisher AAPC
Pages 13
Release 2020-03-12
Genre Medical
ISBN 1626889791

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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.

The Clinical Documentation Improvement Specialist's Complete Training Guide

The Clinical Documentation Improvement Specialist's Complete Training Guide
Title The Clinical Documentation Improvement Specialist's Complete Training Guide PDF eBook
Author Laurie L. Prescott
Publisher
Pages 0
Release 2014-10-23
Genre Clinical medicine
ISBN 9781556452833

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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

Clinical Documentation Improvement

Clinical Documentation Improvement
Title Clinical Documentation Improvement PDF eBook
Author Rn Phn Nkwuaku, Msn Cphq
Publisher Createspace Independent Publishing Platform
Pages 246
Release 2015-12-17
Genre
ISBN 9781519538185

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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.

Pro CDI 2 in Java EE 8

Pro CDI 2 in Java EE 8
Title Pro CDI 2 in Java EE 8 PDF eBook
Author Jan Beernink
Publisher Apress
Pages 254
Release 2019-09-06
Genre Computers
ISBN 1484243633

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In Pro CDI 2 in Java EE 8, use CDI and the CDI 2.0 to automatically manage the life cycle of your enterprise Java, Java EE, or Jakarta EE application’s beans using predefined scopes and define custom life cycles using scopes. In this book, you will see how you can implement dynamic and asynchronous communication between separate beans in your application with CDI events. The authors explain how to add new capabilities to the CDI platform by implementing these capabilities as extensions. They show you how to use CDI in a Java SE environment with the new CDI initialization and configuration API, and how to dynamically modify the configuration of beans at application startup by using dynamic bean building. This book is compatible with the new open source Eclipse Jakarta EE platform and tools. What You Will Learn Use qualifier annotations to inject specific bean implementations Programmatically retrieve bean instances from the CDI container in both Java SE and Java EE when injecting them into an object isn’t possible Dynamically replace beans using the @Alternative annotation to, for example, replace a bean with a mock version for testing Work with annotation literals to get instances of annotations to use with the CDI API Discover how scopes and events interact Who This Book Is For Those who have some experience with CDI, but may not have experience with some of the more advanced features in CDI.

Pediatric CDI

Pediatric CDI
Title Pediatric CDI PDF eBook
Author
Publisher
Pages 132
Release 2017
Genre Medical records
ISBN 9781683086550

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2021 CDI Pocket Guide

2021 CDI Pocket Guide
Title 2021 CDI Pocket Guide PDF eBook
Author Cynthia Tang
Publisher
Pages 328
Release 2020-10-15
Genre
ISBN 9781733459433

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CDI Companion for Physician Advisors

CDI Companion for Physician Advisors
Title CDI Companion for Physician Advisors PDF eBook
Author Trey La Charité
Publisher Hcpro, a Division of Simplify Compliance
Pages 0
Release 2016-11
Genre Medical care
ISBN 9781683081708

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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