A Team Approach to Accurate Codes and Profiles Through Documentation
Product Description:
The words you write in your patient records can make a significant difference to severity, acuity, and risk of mortality scores.
Get credit where credit is due . . .
Inadequate clinical documentation can lead to inaccurate code assignment—and that leads to inaccurate representation of patient severity of illness—and that leads to inaccurate reflection of rates of mortality and complication data. When information is released to the public, it can put your hospital and medical staff in a bad light.
Don't let this happen to your organization or physicians! Make sure your coding staff and physicians work together as a team. Help physicians choose words or language that reflects the true severity of illness and risk of mortality so coders can assign accurate and specific ICD-9-CM codes.
Introducing a training package comprised of two sets of documentation handbooks: one for physicians, and the other for coders. These companion handbooks will improve not only physician/coder communication, but the quality of documentation throughout your entire organization.
You'll recieve 35 handbooks for just $149.
Place your order today and recieve 25 copies of Documentation Strategies to Support Severity of Illness: Ensure an Accurate Professional Profile and 10 copies of Coding and Physician Language: Strategies for Obtaining Complete Documentation all in this one unique training package.
By implementing the recommendations in this training handbook package, your organization's documentation will not only improve your hospital's mortality and morbidity rates, it will improve physician professional profiles, and provide more accurate reimbursement to the medical staff and to the facility. This unique training package includes one set of handbooks for physicians and another set for coders. Together these two handbooks form a training package that addresses a variety of the issues critical to ensuring that medical records in your facility will contain documentation that meets more of standards of:
- Quality
- Utilization
- Compliance
- Risk management
- Coding
This two-handbook training package addresses the 26 most troubling conditions that frequently lack thorough clinical documentation. Take a look at the 26 conditions each handbook covers . . .
- Acute myocardial infarction
- Adverse effects of medications
- Alcohol/substance use/abuse
- Anemia
- Chest pain/angina
- Co-morbidities
- COPD
- Coronary artery disease
- Debridement
- Dementia
- Fracture reduction of femur
- Gastrointestinal (GI) bleed
- Heart failure
- Hyperglycemia
- Low anterior resection
- Malignancies
- Pneumonia
- Pulmonary edema
- Renal failure
- Respiratory failure
- Seizures
- Sepsis
- Stroke/CVA
- Symptoms
- Syncope
- Trauma
You can purchase these handbooks separately or purchase additional packages of each handbook for $99 by selecting the links below.
Documentation Strategies to Support Severity of Illness: Ensure an Accurate Professional Profile
Written by well-known physician educator Robert S. Gold MD, this handbook covers 26 of the most troubling conditions in hospital documentation today. Dr. Gold provides the specific documentation details doctors need to include in their progress notes and discharge summaries to properly express severity of illness and complexity of medical decision-making. The codes assigned to a physician's documentation describe not only how much work the physician completed, but also how well a physician knows the patient. Your physicians will benefit from learning the documentation needs of coders and knowing the direct impact that documentation has on their own professional profile and their reimbursement for patient care.
Coding and Physician Language: Strategies for Obtaining Complete Documentation
This handbook, written by Gloryanne Bryant, BS, RHIA, CCS, one of the industry's leading coding experts, explains clinical criteria and disease etiology for the 26 conditions that usually lack thorough physician documentation. Your coders will receive clear coding guidelines for these conditions and understand how to query physicians in language they will relate and respond to. This information is essential for your coding team and for case management or nursing staff involved in documentation improvement. It takes the most critical guidelines and issues relating to coding and documentation for 26 of the most common diagnoses and conditions and provides your coding staff with clear, concise guidelines on when they should use these codes. Your coders will take these lessons and apply them to every medical record.
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