ICD-10-CM Documentation 2019: Essential Charting Guidance to Support Medical Necessity PDF

ICD-10-CM Documentation 2019: Essential Charting Guidance to Support Medical Necessity PDF

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    ICD-10-CM Documentation 2019: Essential Charting Guidance to Support Medical Necessity PDF 

    by American Medical Association (Author)

     

    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 and 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 

    Product Details

    • Paperback: 515 pages
    • Publisher: American Medical Association Press; 1 edition (September 12, 2018)
    • Language: English
    • ISBN-10: 1622027774
    • ISBN-13: 978-1622027774
    •  
    • Format:  PDF  Original 
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