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ICD-10-CM requires very specific documentation to correctly choose diagnostic codes, a skill that both coders and physicians must master to code successfully. Moving beyond the transition to ICD-10, the new edition focuses on the key role proper documentation plays in supporting medical necessity. ICD-10-CM Documentation 2021 brings coders and physicians together to ensure documentation success, identifying all ICD-10-CM documentation requirements using detailed checklists. Designed for use alongside an ICD-10-CM codebook, this comprehensive training guide provides all the tools necessary to conduct an effective documentation analysis and to create a corrective action plan, making it ideal for both non-facility and facility coders. The chapter organization mirrors the structure of codebooks and all guidance is geared toward the process of code decision-making. In addition, exercises and quizzes test knowledge and understanding of key points throughout the book. FEATURES AND BENEFITSNew codes, revisions and deletions, plus guideline updates for 2021 -- final changes will be integrated into every pertinent chapter, checklist, scenario and quizDetailed, full-page anatomy illustrations -- for better interpretation of clinical notesChecklists to identify documentation elements -- for categories, subcategories and codesChecklists for specialty-specific documentation -- to review current records and identify any documentation deficienciesICD-10-CM documentation scenarios -- display documentation requirements with important elements highlightedCDI checklists -- identify common documentation deficiencies faced when coding COPD, Pneumonia and Sepsis/SIRSGlossary of Medical TerminologyScenarios -- illustrate required documentation in ICD-10-CM with additional ICD-10 requirements highlighted so readers can understand where the documentation will appear in common coding scenarios based on real-life health care encountersEnd of chapter quizzes -- dive into coding practice with the conditions discussed in each chapter
eBook details
- Title: ICD-10-CM Documentation 2021: Essential Charting Guidance to Support Medical Necessity
- Author : American Medical Association
- Release Date : *
- Genre: Books,Medical Books,Medicine
- Pages : * pages
- Size : * KB
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