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ICD-10-CM Documentation 2019: Essential Charting Guidance to Support Medical Necessity
ICD10CM Documentation 2019 Essential Charting Guidance to Support Medical Necessity Author:American Medical Association 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 2019 brings coders an... more »d physicians together to ensure documentation success, identifying all
ICD-10-CM documentation requirements using detailed checklists.
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 2019 ? final 2019 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
? Scenarios ? 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« less