Icd-10-cm Documentation 2021: Essential Charting Guidance To Support Medical Necessity
by Ama 2021-01-17 11:23:49
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ICD-10-CM requires very specific documentation to correctly choose diagnostic codes, a skill that both coders and physicians must master to code successfully. Moving beyond the transition to ICD-10, the new edition focuses on the key role proper docu... Read more
ICD-10-CM requires very specific documentation to correctly choose diagnostic codes, a skill that both coders and physicians must master to code successfully. Moving beyond the transition to ICD-10, the new edition focuses on the key role proper documentation plays in supporting medical necessity.ICD-10-CM Documentation 2021</I>brings coders and physicians together to ensure documentation success, identifying all ICD-10-CM documentation requirements using detailed checklists.<BR <BR Designed for use alongside an ICD-10-CM codebook, this comprehensive training guide provides all the tools necessary to conduct an effective documentation analysis and to create a corrective action plan, making it ideal for both non-facility and facility coders. The chapter organization mirrors the structure of codebooks and all guidance is geared toward the process of code decision-making. In addition, exercises and quizzes test knowledge and understanding of key points throughout the book.FEATURES AND BENEFITS
  • New codes, revisions and deletions, plus guideline updates for 2021— final changes will be integrated into every pertinent chapter, checklist, scenario and quiz
  • Detailed, full-page anatomy illustrations— for better interpretation of clinical notes
  • Checklists to identify documentation elements— for categories, subcategories and codes
  • Checklists for specialty-specific documentation— to review current records and identify any documentation deficiencies
  • ICD-10-CM documentation scenarios— display documentation requirements with important elements highlighted
  • CDI checklists— identify common documentation deficiencies faced when coding COPD, Pneumonia and Sepsis/SIRS
  • Glossary of Medical Terminology
  • <STRONG>Scenarios</STRONG>— illustrate required documentation in ICD-10-CM with additional ICD-10 requirements highlighted so readers can understand where the documentation will appear in common coding scenarios based on real-life health care encounters
  • End of chapter quizzes— dive into coding practice with the conditions discussed in each chapter
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  • 9781640160859
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