The Coder's Guide to Physician Queries PDF Download
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Author: Adrienne Commeree
Publisher:
ISBN: 9781683086772
Category : Medical records
Languages : en
Pages : 120
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Book Description
This book is for new and established coders who are looking to expand their knowledge of queries.
Author: Adrienne Commeree
Publisher:
ISBN: 9781683086772
Category : Medical records
Languages : en
Pages : 120
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Book Description
This book is for new and established coders who are looking to expand their knowledge of queries.
Author: Jillian Harrington
Publisher:
ISBN: 9781645351047
Category :
Languages : en
Pages : 110
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Book Description
The Coder's Guide to Physician Queries, Second Edition provides easy-to-follow strategies for coding departments to improve their query processes and train their coders on developing and executing physician queries. Using the tools in this guide, new and established coders can revise their practices and train staff to meet the challenges of integrating ICD-10-CM/PCS codes into queries, government payer initiatives, auditor denials, and electronic advances.
Author: James S. Kennedy
Publisher:
ISBN: 9781601466341
Category : Medical records
Languages : en
Pages : 0
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Book Description
Author: Christopher L. Taylor
Publisher: Springer Science & Business Media
ISBN: 1597453145
Category : Medical
Languages : en
Pages : 126
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Book Description
This guide explains the Evaluation and Management (E/M) coding process used by physicians and regulated by the American Medical Association. In four chapters, Dr. Christopher Taylor establishes a step-by-step approach to determining the correct CPT code for the most common patient encounters in the office, hospital, or nursing home. Helpful appendices provide E/M coding guide, templates, and additional information.
Author: Optum360
Publisher:
ISBN: 9781601519924
Category :
Languages : en
Pages : 0
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Book Description
The 2014 Guide to Clinical Validation, Documentation and Coding provides the clinical criteria necessary for code assignment. This resource describes the clinical documentation needed for determining if the condition is a complication, or when a medical condition should be coded as an additional diagnosis. Now coders, utilization review staff, and HIM managers can systematically evaluate the clinical criteria that influence code assignments and patient care. Covers 50 of the most challenging inpatient medical diagnoses and procedures. Provides detailed clinical criteria and physician documentation requirements. Code assignment justifications are thoroughly outlined. Helps craft physician queries. Learn how to address fine distinctions in a patient's medical condition and ensure appropriate reimbursement. Provides a detailed clinical description of problematic diagnoses or procedures--from a coder's perspective--plus the clinical criteria that support code assignment. Assists coders in determining what clinical elements are necessary for initial diagnosis code assignment, when it should be coded as a complication, and when the condition should be coded as an additional diagnosis. Ties in to ICD-10-PCS. Identifies other terminology that would qualify for the ICD-10-PCS specific root operation term.
Author: Glenn Krauss
Publisher: HC Pro, Inc.
ISBN: 1601468172
Category : Medical
Languages : en
Pages : 163
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Book Description
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
Author: Elaine Cohen
Publisher: Elsevier Health Sciences
ISBN: 9780323027656
Category : Medical
Languages : en
Pages : 650
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Book Description
This classic resource offers complete coverage of nursing case management - from theoretical background and historical perspective to practical applications and how the field is changing to meet the challenges of today's health care environment. It focuses on the implementation of various case management models used throughout the United States and abroad. Key topics include the impact of public policy on health care; understanding the effects of health care reimbursement and its application at the patient level; throughput and capacity management; the impact of the revenue cycle; compliance and regulatory issues; and principles needed to improve case manager-client interaction. This helpful resource is designed to help nurse case managers assess their organization's readiness for case management, prepare and implement a plan to achieve necessary improvements and evaluate the plan's success. Includes numerous proven case management models currently being used in institutions across the country Organized to take the nursing case manager on a journey from the historical development of nursing case management to the successful implementation of a case management program Offers detailed guidance for planning, implementing, and evaluating a case management program Outlines the planning process with information on key topics such as analysis of the organization, the role of the organization's members, selection criteria for new case managers, case management education, credentialing, and partnerships Features guidelines for implementing a case management program with information on ethical issues, technology, compliance, and regulatory issues Addresses the evaluation component of developing and implementing a case management program by presenting information on outcomes, research, documentation, continuous quality improvement, measuring cost effectiveness, care continuum, and evidence-based practice Presents acute care and community based models of case management Highlights the evolution of collaborative models of case management, addressing key elements of joint decision-making, shared accountability, and interdisciplinary systems of care Addresses health care delivery through case management and public policy by presenting current legislative issues and their affect on both health care reimbursement and the application of care at the patient level Presents the insights, experiences, and advice of nursing administrators who have researched and successfully implemented nursing case management programs in various facilities
Author:
Publisher: HC Pro, Inc.
ISBN: 1601467206
Category : Accounts receivable
Languages : en
Pages : 155
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Book Description
Author: Jennifer Avery
Publisher: Hcpro, a Division of Simplify Compliance
ISBN: 9781615692002
Category :
Languages : en
Pages : 0
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Book Description
The Clinical Documentation Improvement Specialist's Guide to ICD-10, Second Edition Now in its second edition, The Clinical Documentation Improvement Specialist's Guide to ICD-10 is the only guide to address ICD-10 from the CDI point of view. Written by CDI experts and ICD-10 Boot Camp instructors, it explains the ICD-10 documentation requirements and clinical indicators of commonly reported diagnoses and the codes associated with those conditions. In it you'll find the specific documentation requirements to appropriately code a variety of conditions. The Clinical Documentation Improvement Specialist's Guide to ICD-10, Second Edition, not only outlines the changes coming in October 2014, it provides detailed information on how to assess staffing needs, training requirements, and implementation strategies. The authors--an ICD-10 certified coder and CDI specialist--collaborated to create a comprehensive selection of ICD-10 sample queries that facilities can download and use to jumpstart their ICD-10 documentation improvement efforts. Develop the expertise and comfort level you need to manage this important industry change and help your organization make a smooth transition. The Clinical Documentation Improvement Specialist's Guide to ICD-10, Second Edition, is part of the library of products and services from the Association of Clinical Documentation Improvement Specialists (ACDIS). ACDIS members are CDI professionals who share the latest tested tips, tools, and strategies to implement successful CDI programs and achieve professional growth. Member benefits include a quarterly journal, members-only Web site, quarterly networking conference calls, discounts on conferences, and more. WHAT'S NEW? Completely revised to accommodate changes in ICD-10 implementation dates Dozens of targeted ICD-10 physician queries Updated ICD-10 benchmarking reports BENEFITS Sample ICD-10 queries Specificity requirements and clinical indicators by disease type and body system Staff training and assessment tools TABLE OF CONTENTS Chapter 1: ICD-10 primer Chapter 2: Conventions and Guidelines Chapter 3: Physician queries Chapter 4: CDI target areas Chapter 5: ICD-10-CM/PCS Provider Education
Author: Joe Rivet
Publisher: Hcpro, a Division of Blr
ISBN: 9781578398997
Category : Medical
Languages : en
Pages : 52
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Book Description
Do you want to receive proper reimbursement for new and established patients and consultations? You use E/M codes everyday, but are you selecting the appropriate code for the level of the patient visit? Are you familiar with the guidelines that will help you pick the most appropriate code? If not, you could be missing out on revenue that you earned! That's why HCPro created a detailed, easy-to-use, pocket-sized reference to help you select accurate E/M codes: "E/M Coding Pocket Guide for Physician Practices."Code accurately and avoid OIG audits with one convenient resource. Full of coding criteria and documentation requirements for E/M codes, this pocket guide is small enough to carry with you into the exam room, but thorough enough to help you select the appropriate E/M code immediately after examining a patient, receive proper reimbursement for every evaluation, and avoid scrutiny from the OIG. "The E/M Coding Pocket Guide for Physician Practices" includes E/M documentation requirements for all five levels of new patient, established patient, and consultation visits in the office setting. clarifies differences between the often confusing 1995 and 1997 E/M coding guidelines. explains in detail how to determine the level for each documentation component. splits E/M coding into these two easy-to-follow sections basic requirements for each code detailed explanations of documentation requirements Take a look at the Table of Contents: Introduction Importance of E/M coding 1995 vs. 1997 guidelines How to use this pocket guide Section 1: E/M Code Quick Reference New-patient office visits (codes 99201-99205) Established-patient office visits (codes 99211-99215) Consultation office visits (codes 99241-99245) Section 2: E/M Code Components History Exam Medical decision-making Time-based billing Who should read E/M Coding Pocket Guide for Physician Practices? Managing physician Physician owner Practice administrator Office manager Managing partner Business manager Coders Billers Compliance officers Residency program coordinators Let "E/M Coding Pocket Guide for Physician Practices" be the answer to all your E/M coding questions.
