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.

Coding from the Operative Report for ICD-10-CM and -PCS is an ideal resource for your inpatient coders to test their ICD-10-CM and PCS coding skills with detailed, inpatient cases. Your coding staff will be able to practice with these real-life operative report-based coding challenges.

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, 2017.

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 code book contains the complete ICD-10-CM code set which is the cornerstone for establishing medical necessity, determining coverage, and ensuring appropriate reimbursement.

The ICD-10-PCS Professional is our original softbound version with the complete ICD-10-PCS code set and all of the supplementary appendixes required for reporting of inpatient procedures. In addition you will find the familiar Optum360 coding and reimbursement alerts you have come to rely upon including the Medicare Code Edits (MCE) for the ICD-10 MS-DRG reimbursement system.