| Autor: |
La Charité, Trey, Kennedy, James S., HCPro (Firm), Association of Clinical Documentation Improvement Specialists |
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The Physician Advisor's Guide to Clinical Documentation Improvement Trey La Charité, MD James S. Kennedy, MD, CCS, CDIP 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 advisorsOutline the importance of CDI efforts in specific relation to the needs and expectations of physiciansHighlight documentation improvement focus areas by Major Diagnostic CategoryReview government initiatives and claims denial patterns, providing physician advisors concrete tools to sway physician documentationTable of Contents CDI FoundationTeam compositionStaff responsibilitiesCore competenciesProgram structureRisk and severity adjustmentsData sourcesRisk of mortality and secondary diagnosesPhysician CompareProvider profilingPayment modelsBundled paymentsMS-DRGs/APR-DRGsHCCsValue-based purchasingHACs/POAsE/MCoding foundationsTransition to ICD-10Cooperating PartiesExamples of increased specificityCoding guidelines as they apply to CDICoding Clinic influenceQuery complianceEvolution of query practicesEffective query creationAuditing/monitoring queriesClinical conditionsStrokeAltered mental statusEncephalopathyFunctional quadriplegiaRespiratory failurePneumoniaCardiovascular diseasesKidney diseaseSurgical complicationsMusculoskeletalDiabetesMalnutritionPediatrics, obstetricsNeoplasmsSepsisRegulatory oversight/auditorsRecovery AuditorsMedicare Administrative ContractorsCompliance concernsElectronic health record CDI program monitoringAuditingCommunicating statisticsLocating concerns |
| Databáze: |
eBook Index |
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