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 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.

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.

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.

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, 2020.

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.