ICD10CM Clinical Documentation Improvement Desk Reference Author:Ingenix The greater number of ICD-10-CM diagnostic codes means an even bigger need for detailed clinical documentation. — Making the right codes selection requires having adequate clinical detail, and under ICD-10, clinician's documentation will--more than ever--translate into reimbursement gained or lost. The quality of clinical documentation is a long... more »standing challenge.
This manual provides the resources you need to gain physician cooperation and to enhance coding through clinical documentation improvement for ICD-10-CM. Important Note: Clinical documentation improvement (CDI) is not about how to code in ICD-10.
CDI is knowing what to look for in medical records, as well as how to ask for clarification and get ongoing changes to the notes and comments provided by physicians. Features and benefits: Includes the unique "ICD-10 Translator" guide. An exclusive documentation resource that connects ICD-19-CM terminology with the associated ICD-10-CM codes to ease the transition. See key terms. Confirm accurate code selection for every chapter of ICD-10-CM. Know when ICD-10-CM differs dramatically from ICD-9-CM. Alerts and warnings in the text of this book call your attention to
situations where ICD-10-CM coding protocols are different from ICD-9-CM and significantly affect code choices. Streamline the query process. Show physicians which medical terms are essential to assigning codes in ICD-10-CM. Know when the coding system rules affect how documentation is interpreted.« less