ICD 10 CM Documentation Essential Charting Guidance to Support Medical Necessity 2019 1st edition by American Medical Association – Ebook PDF Instant Download/DeliveryISBN: 1622027781, 9781622027781
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Product details:
ISBN-10 : 1622027781
ISBN-13 : 9781622027781
Author: American Medical Association
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 2019 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 Benefits • New codes, revisions and deletions, plus guideline updates for 2019 — final 2019 changes will be integrated into every pertinent chapter, checklist, scenario and quiz • Detailed, full-page anatomy illustrations — for better interpretation of clinical notes • Checklists to identify documentation elements — for categories, subcategories and codes • Checklists for specialty-specific documentation — to review current records and identify any documentation deficiencies • ICD-10-CM documentation scenarios — display documentation requirements with important elements highlighted • CDI checklists — identify common documentation deficiencies faced when coding COPD, Pneumonia and Sepsis/SIRS • Glossary of Medical Terminology • Scenarios — 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 encounters • End of chapter quizzes — dive into coding practice with the conditions discussed in each chapter
ICD 10 CM Documentation Essential Charting Guidance to Support Medical Necessity 2019 1st Table of contents:
Chapter 1: Infectious and Parasitic Diseases
Chapter 2: Neoplasms
Chapter 3: Diseases of the Blood and Blood-Forming Organs
Chapter 4: Endocrine, Nutritional and Metabolic Diseases, and Immunity Disorders
Chapter 5: Mental, Behavioral, and Neurodevelopmental Disorders
Chapter 6: Diseases of the Nervous System
Chapter 7: Diseases of the Eye and Adnexa (H00-H59)
Chapter 8: Diseases of the Ear and Mastoid Process (H60-H95)
Chapter 9: Diseases of the Circulatory System
Chapter 10: Diseases of the Respiratory System
Chapter 11: Diseases of the Digestive System
Chapter 12: Diseases of the Skin and Subcutaneous Tissue
Chapter 13: Complications of Pregnancy, Childbirth, and the Puerperium
Chapter 14: Diseases of the Genitourinary System
Chapter 15: Diseases of the Musculoskeletal System and Connective Tissue
Chapter 16: Congenital Anomalies
Chapter 17: Certain Conditions Originating in the Perinatal Period
Chapter 18: Symptoms, Signs, Ill-Defined Conditions
Chapter 19: Injury, Poisoning, and Certain Other Consequences of External Causes
Chapter 20: Factors Influencing Health and Contact with Health Care Services
Chapter 21: External Causes of Morbidity
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Tags: Documentation, Essential Charting, Support Medical Necessity, American Medical Association