The Clinical Documentation Improvement Specialist's Guide to ICD-10, 2nd Edition

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The Clinical Documentation Improvement Specialist's Guide to ICD-10, 2nd Edition

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The Clinical Documentation Improvement Specialist's Guide to ICD-10, 2nd Edition

Now in its second edition, The Clinical Documentation Improvement Specialist’s Guide to ICD-10 is the only guide to address ICD-10 from the CDI point of view. Written by CDI experts and ICD-10 Boot Camp instructors, it explains the ICD-10 documentation requirements and clinical indicators of commonly reported diagnoses and the codes associated with those conditions. In it you’ll find the specific documentation requirements to appropriately code a variety of conditions.

The CDI Specialist’s Guide to ICD-10, Second Edition, not only outlines the changes coming in October 2015, it provides detailed information on how to assess staffing needs, training requirements, and implementation strategies. The authors—an ICD-10 certified coder and CDI specialist—collaborated to create a comprehensive selection of ICD-10 sample queries that facilities can download and use to jumpstart their ICD-10 documentation improvement efforts.

Develop the expertise and comfort level you need to manage this important industry change and help your organization make a smooth transition.

The Clinical Documentation Improvement Specialist’s Guide to ICD-10, Second Edition, is part of the library of products and services from the Association of Clinical Documentation Improvement Specialists (ACDIS).

ACDIS members are CDI professionals who share the latest tested tips, tools, and strategies to implement successful CDI programs and achieve professional growth. Member benefits include a quarterly journal, members-only Web site, quarterly networking conference calls, discounts on conferences, and more.

WHAT’S NEW?

  • Completely revised to accommodate changes in ICD-10 implementation dates
  • Dozens of targeted ICD-10 physician queries
  • Updated ICD-10 benchmarking reports

BENEFITS

  • Sample ICD-10 queries
  • Specificity requirements and clinical indicators by disease type and body system
  • Staff training and assessment tools

PREVIEW THE TABLE OF CONTENTS

Chapter 1: ICD-10 primer

Chapter  2: Conventions and  Guidelines

Chapter 3 : Physician queries

Chapter 4 : CDI target areas

Chapter  5 : ICD-10-CM/PCS Provider Education

ABOUT THE AUTHORS

Jennifer Avery, CCS, CPC-H, CPC, CPC-I

Jennifer Avery, CCS, CPC-H, CPC, CPC-I, is a senior regulatory specialist with HCPro, and serves as a lead instructor for the Certified Coder Boot Camp®, the Certified Coder Boot Camp®-Online Version, the Certified Coder Boot Camp®-Inpatient Version, and HCPro's ICD-10 Basics Boot Camp®. As a member of the Revenue Cycle Institute, Avery works with hospitals, medical practices, and other healthcare providers on a wide range of coding-related issues with a particular focus on coding education.

Avery has extensive experience with coding for both physician and hospital services. Prior to joining HCPro, she worked as a lead coder for Health Partners Investments, LLC, a medical practice management company, where her duties included coder training, auditing and coding for all new specialty physicians, and serving as backup coder during vacations and backlog. She was also a coding consultant for Coding by the Numbers where her duties included coding for inpatient services on an as-needed basis.

Avery is accredited as a Certified Coding Specialist by the American Health Information Management Association and as a Certified Professional Coder and Certified Professional Coder- Hospital by the AAPC. She is also an approved Professional Medical Coding Curriculum (PMCC) instructor by the AAPC. Avery served as president of her local chapter of the AAPC in Oklahoma City in 2007. She is currently a member of AHIMA's Action Community for e-HIM Excellence (ACE), which collects the top HIM professionals and makes them available for a variety of volunteer activities, tackling diverse HIM interests and issues. She is an approved AHIMA-certified ICD-10 trainer for both ICD-10-CM and ICD-10-PCS.

Avery holds associate's degrees in both Health Claims Management and Medical Assisting from Davenport University in Granger, IN.

Cheryl Ericson, AHIMA Approved ICD-10-CM/PCS Trainer

Cheryl Ericson, AHIMA Approved ICD-10-CM/PCS Trainer, is the clinical documentation improvement (CDI) education director for HCPro and the Association of Clinical Documentation Improvement Specialists (ACDIS) in Danvers, Mass. She is responsible for the development and revision of CDI Boot Camp content and serves as the lead trainer. Ericson is a CDI subject matter expert for a variety of HCPro and ACDIS publications as well as serving as an advisor on a variety of initiatives that affect CDI professionals. Prior to joining HCPro, she managed clinical documentation integrity, core measures abstraction, and utilization review departments at a large academic medical center. She has an extensive background in adult education, data analysis, healthcare revenue cycle, and CMS guidelines.

Ericson currently serves on the CCDS exam committee for ACDIS as well as the association's advisory board; she has served on several AHIMA workgroups, including the 2010 and 2013 CDI/query practice briefs, and was a contributor to the AHIMA exam for CDI. Within the field of CDI, her expertise includes CDI implementation, CMS quality metrics/Hospital Value-Based Purchasing (HVBP), ICD-10-CM/PCS, InterQual guidelines/medical necessity, mortality reviews, PEPPER data, and querying. She has shared her expertise through a variety of speaking engagements for ACDIS, AHIMA, the American Hospital Association, the National Medicare RAC Summit, the National Medicare/Medicaid Summit, and the University HealthSystem Consortium.

Published: May 2013