Clinical documentation improvement (CDI) is not about how to code in ICD-10-CM or CPT^®; CDI is knowing what to look for in medical records, as well as how to ask for clarification and get ongoing changes to the notes and comments provided by physicians.

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, 2018.

Now there is a unique new resource that provides the clinical criteria necessary for code assignment. This new tool also describes the clinical documentation needed for determining if the condition is a complication, or when a medical condition should be coded as an additional diagnosis.

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.

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.