ICD-10 Coding and Physician Language: Strategies for Complete Documentation, Third EditionGloryanne Bryant, BS, RHIA, RHIT, CCS, CCDS
Sold in packages of 25 copies!
Written by highly respected coding expert Gloryanne Bryant, RHIA, CDIP, CCS, CCDS, this handbook provides the information coders and CDI professionals need to ensure physician documentation meets the ICD-10 specificity requirements necessary for accurate and compliant coding. It will help coders and CDI staff better understand what to look for in documentation and how to query physicians more effectively.
The third edition has been updated to help ease the transition to ICD-10, which provides greater specificity than ICD-9 and will require far more specific documentation in the medical record.
Each order includes 25 copies of this handbook to ensure that every coder and clinical documentation specialist receives a copy of this user-friendly resource.
Table of Contents:
Introduction
Documentation
Communication and Physician Queries
Severity and Risk of Mortality
ICD-10 Regulatory Scrutiny
ICD-10 Coding Guidelines
Acute Myocardial Infarction
Adverse Effects of Medications
Alcohol and Substance Use and Abuse
Anemia
Atherosclerotic
Coronary Artery Disease and Angina
Body Mass Index
Chest Pain and Angina
Chronic Obstructive Pulmonary Disease
Coma
Comfort Care or Palliative Care
Comorbidities
Coronary Artery Disease
Delirium
Dementia
Fracture Reduction of Femur
Gastrointestinal
Hemorrhage or Bleed
Heart Failure
Hyperglycemia
Hypertension
Low Anterior Resection
Malignancies and Neoplasms
Malnutrition
Obesity
Pneumonia
Postoperative Complications
Pulmonary Edema
Renal Failure
Respiratory Failure
Seizures
Sepsis
Stroke or Cerebrovascular Accident Symptoms
Syncope
Trauma
Summary
What's New:
This handbook contains information about ICD-10 documentation requirements and coding.
About the Author:
Gloryanne Bryant is a sought-after national speaker and author on healthcare compliance, reimbursement, clinical documentation improvement, and coding regulations. With more than 30 years of experience in health information management (HIM), she serves as a catalyst for change and improvement in HIM and healthcare.
Bryant is the national director of coding quality, education, systems, and support for the national revenue cycle of Kaiser Permanente and national revenue cycle co-lead of ICD-10 coding education and training. Based in Oakland, Calif., Bryant is also an advisor to clinical documentation improvement programs and staff.
