ICD-10 Documentation Strategies to Support Severity of Illness

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ICD-10 Documentation Strategies to Support Severity of Illness (25 pack)

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ICD-10 Documentation Strategies to Support Severity of Illness
Ensure an Accurate Professional Profile, Third Edition

Robert S. Gold, MD

Sold in packages of 25 copies!


Written by well-known physician educator Robert S. Gold, MD, this handbook explains the specific documentation details physicians need to express severity of illness and complexity of decision-making for 34 of the most troubling conditions in documentation today.

It explains specific diagnosis-related issues, relieving physicians of much of the rework associated with utilization review, case management, and HIM/medical records concerns.

The third edition has been updated to help physicians understand the documentation rules for ICD-10.
 

Table of Contents:

Introduction

Chapter 1: Acute Myocardial Infarction

Chapter 2: Adverse Effects of Medications

Chapter 3: Alcohol and Substance Use and Abuse

Chapter 4: Anemia

Chapter 5: Atrial Arrhythmias: Fibrillation, Flutter

Chapter 6: Chest Pain and Angina

Chapter 7: Chronic Obstructive Pulmonary Disease

Chapter 8: Comfort Measures Only

Chapter 9: Comorbidities or Comorbid Conditions

Chapter 10: Complications: Postoperative

Chapter 11: Cor Pulmonale: Acute Due to Massive  Pulmonary Embolism

Chapter 12: Coronary Artery Disease Debridement

Chapter 13: Dementia, Delirium, and Encephalopathy

Chapter 14: Fractures

Chapter 15: Gastrointestinal Bleed

Chapter 16: Heart Failure

Chapter 17: Hyperglycemia Hypertension

Chapter 18: Inflammatory Bowel Disease

Chapter 19: Low Anterior Resection Malignancies

Chapter 20: Malnutrition

Chapter 21: Obesity

Chapter 22: Peripheral Vascular Disease

Chapter 23: Pneumonia

Chapter 24: Pulmonary Edema Renal Failure

Chapter 25: Respiratory Failure Seizures

Chapter 26: Sepsis

Chapter 27: Stroke or Cerebrovascular Chapter 28: Accident

Chapter 28: Symptoms

Chapter 29: Syncope

Chapter 30: Trauma

Summary

What’s New:

This handbook explains the specific documentation details physicians will need to express severity of illness and complexity of decision-making under ICD-10.


About the Author:

Robert S. Gold, MD, is known nationally for his presentations regarding the clinical orientation of coding in AHIMA and HCPro audio conferences. He has spoken at national and state-level Healthcare Financial Management Association and Healthcare Compliance Association meetings about the participation of the medical staff in documentation improvement programs. He writes the monthly columns “Clinically Speaking” for Briefings on Coding Compliance Strategies and “Minute for the Medical Staff” for Medical Records Briefing. Dr. Gold also is a cofounder of DCBA, Inc., a consulting company that provides physician-led programs in clinical documentation improvement (CDI), with training of CDI specialists and with coder education in the diagnoses and procedures to which they assign codes.

Published: December 2013