High-quality clinical documentation plays an essential role in getting paid correctly and improving patient outcomes. Our clinical documentation integrity (CDI) book measures up to this critical function.

Risk-adjustment practices consider chronic diseases as predictors of future healthcare needs and expenses. Correct and detailed documentation and compliant diagnosis coding are critical for proper risk adjustment.

This illustrated codebook presents the complete ICD-10-PCS code set in 17 sections of tables arranged by general procedure type. Tables within the extensive Medical and Surgical section are additionally sectioned out by body system, indicated by color-coded page borders.

This codebook is the cornerstone for establishing medical necessity, determining coverage and ensuring appropriate reimbursement. Providing the entire updated code set for diagnostic coding, organized to make the challenge of accurate coding easier.

Providers want accurate reimbursement. Payers want efficient claims processing. Since the CPT^® code set is a dynamic, ever- changing standard, an outdated codebook does not suffice. Correct reporting and billing of medical procedures and services begins with CPT^® 2020 Professional Edition.

The best print and digital sources for every CPT^® coding decision can be found in this new package that includes one spiral-bound copy of CPT^® Professional 2020 and free access to all premium content available in the CPT^® QuickRef app.

Find the meaning behind all of the changes included in the AMA's CPT^® 2020 Professional Edition codebook. Invest in this annual publication and get the insider's perspective into the CPT code set directly from the source—the American Medical Association.

Optimized for medical necessity and reimbursement understanding, this all-in-one resource focuses on the most important CPT^® and HCPCS codes for urology and nephrology, plus medicine and ancillary services codes chosen by experts who have taken into consideration utilization, denial risk and complexity.

Other than the AMA CPT^® Professional Edition codebook, this is the only book in the market with verbatim CPT-panel–approved guidelines and parenthetical information specific to anesthesiology and pain management.

The Social Determinants of Health: Case Management’s Next Frontier is designed to help case managers develop strategies to manage and intervene with the populations predisposed to the risks associated with SDoHs.

Intuitively organized into 17 sections of code tables with supplementary definitions tables and device and body part keys, the Optum360 ICD-10-PCS codebook sets the standard for coding accuracy which is the cornerstone of healthcare analytics and revenue cycle management.

Developed specifically to meet the needs of physicians, the Optum360 codebook contains the complete ICD-10-CM code set which is the cornerstone for establishing medical necessity, determining coverage, and ensuring appropriate reimbursement.

This is a concise, reliable, and easy-to-follow tool for those problematic diagnoses and PCS inpatient procedures that are most often questioned by payers. Use this to systematically evaluate the clinical criteria that influence code assignments and patient care.

Making the right code selection requires having adequate clinical detail and, under ICD-10-CM, clinician's documentation will more than ever translate into reimbursement gained or lost.

This is a must-have reference for those who need to verify DRG information and accurately assign MS-DRGs concurrently or retrospectively based on ICD-10-CM methodology, which goes into effect October 1, 2019.