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.

From familiar names to root operations

In ICD-10-PCS code descriptions, eponyms are not included in the index, yet coders will continue to see eponyms used by physicians in the clinical documentation. This resource will assist you in translating eponyms to root operations.

Get a faster start to finding the right code

While you might not be able to memorize every ICD-10-CM code, this tool uses mnemonics to help you connect the first letter of a code with the corresponding ICD-10-CM chapter.

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.

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.

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.

ICD-10-PCS 2019: The Complete Official Codebook contains the complete ICD-10-PCS code set and supplementary appendixes required for reporting inpatient procedures. This illustrated codebook presents the 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.

ICD-10-CM 2019: The Complete Official Codebook provides the entire updated code set for diagnostic coding, organized to make the challenge of accurate coding easier. This codebook is the cornerstone for establishing medical necessity, determining coverage and ensuring appropriate reimbursement.

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.

The fourth edition of this trusted resource helps a practice uncover where payment may be slowing or missing while ensuring compliance with payer rules and coding policy. Readers will come to understand how to identify overcoding and undercoding, improve documentation, and develop compliance improvement programs.

The ICD-10-CM Documentation Trainer brings coders and physicians together to ensure documentation success, identifying all additional ICD-10-CM documentation requirements using detailed checklists.

This comprehensive guide will help individual providers to avoid MIPS penalties and secure bonuses.

Ensure your team understands how to use modifiers to prevent denials and protect proper reimbursement.