2022 Acdis Pocket Guide

CDI professionals need a day-to-day reference when conducting their outpatient medical record reviews--one that can provide trusted clinical indicators for compliant and effective physician clarifications, and at-a-glance, easy-to-use diagnosis and Hierarchical Condition Category (HCC) references. The 2021 ACDIS Outpatient Pocket Guide is the essential resource for outpatient coding guidance, HCC updates, compliant query best practices and standards, E/M requirements, and diagnostic definitions. Co-written by ACDIS' CDI Education Director Laurie Prescott, RN, MSN, CCDS, CDIP, CRC, CCDS-O, James Manz, MD, CCDS-O, a practicing physician at the Mayo Clinic steeped in the latest physician documentation terminology, and Autumn Reiter, BSN, RN, CCDS, CCDS-O, CDIP, CCS, director of clinical documentation improvement for CorroHealth, the 2021 ACDIS Outpatient Pocket Guide is a winning combination of practical, tailored CDI tips and resources, helpful references including ICD-10-CM code mappings organized by HCC, and clinical, regulatory, and coding guidance adapted from the official sources.

The new 2022 ACDIS Pocket Guide includes updates to clinical diagnostic standards, Official Guidelines for Coding and Reporting, ICD-10-CM codes, CMS-HCCs, and CDI critical thinking tips! The 2022 ACDIS Pocket Guide is co-written by ACDIS' CDI Education Director Laurie Prescott, RN, MSN, CCDS, CDIP, CRC, CCDS-O, and a practicing physician steeped in the latest physician documentation terminology, James Manz, MD, CCDS-O.

Your new CDI specialist starts in a few weeks. They have the right background to do the job, but need orientation, training, and help understanding the core skills every new CDI needs. Don't spend time creating training materials from scratch. ACDIS' acclaimed CDI Boot Camp instructors have created The Clinical Documentation Improvement Specialist's Complete Training Guide to serve as a bridge between your new CDI specialists' first day on the job and their first effective steps reviewing records. The Clinical Documentation Improvement Specialist's Complete Training Guide is the perfect resource for CDI program managers to help new CDI professionals understand their roles and responsibilities. It will get your staff trained faster and working quicker. This training guide provides: An introduction for managers, with suggestions for training staff and guidance for manual use Sample training timelines Test-your-knowledge questions to reinforce key concepts Case study examples to illustrate essential CDI elements Documentation challenges associated with common diagnoses such as sepsis, pneumonia, and COPD Sample policies and procedures

Home Health Pocket Guide to OASIS-C1: A Reference for Field Staff Melinda A. Gaboury, COS-C Help your home health agency maintain regulatory compliance by implementing the OASIS data set transitions with convenience and ease using the Home Health Pocket Guide to OASIS-C1: A Reference for Field Staff. This updated book supplies homecare providers with the latest information they need to know about the revised OASIS-C1 data set implementation requirements for January and October 2015. Designed to enable field staff to bring along and complete the OASIS-C1 assessments at a patient's bedside, the book provides helpful guidance for each assessment type and M item change to ensure documentation standards are upheld and proper reimbursement is obtained for every patient. This handy pocket guide provides: Convenient access to OASIS guidance; use this travel-sized pocket guide while filling out the assessment at the bedside Plain English guidance with step-by-step instructions for filling out each OASIS-C1 item to help staff easily improve their OASIS documentation An explanation of how OASIS items fit into various assessments A breakdown of how the data collection affects reimbursement Troubleshooting tips to avert incorrect payment, denials, and fines Compliance at any time--our pocket guide offers information about the revised implementation requirements for January and October 2015 Table of Contents: Section 1: OASIS-C1 Overview - Summary of eliminated, modified, and new data elements Section 2: What's New: Two-Step Implementation Method to Compliment ICD-10 Section 3: The Comprehensive Assessment and OASIS-C1 Section 4: Reimbursement Effect of OASIS-C1 Section 5: OASIS-C1 and Outcomes Section 6: Patient Tracking Sheet Section 7: Start of Care and Resumption of Care Assessments Section 8: Follow-Up and Other Follow-Up Assessments Section 9: Transfer and Discharge Assessments Section 10: Step by Step: General instructions for completion of the OASIS-C

When it comes to clinical documentation, physician advisors have a range of important responsibilities, from query escalation to denials management and everything in between. With all these tasks on their plate, physician advisors are constantly pulled in different directions, making it hard to make the best use of their time. CDI Companion for Physician Advisors: Notes From the Field is designed to help physician advisors structure their time properly and carry out their CDI duties effectively and efficiently. This book will help physician advisors: Find their feet in the CDI role Identify tools to provide effective documentation education for physicians and CDI staff Engage medical staff in documentation improvement efforts Understand common documentation deficiencies for difficult diagnoses such as sepsis, heart failure, and kidney disease Work with their CDI team to tackle advanced record reviews in areas such as quality, audit defense, and outpatient HCCs Figure out how to best structure their time to carry out CDI duties