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Clinical Documentation Sourcebook 2018


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With clinical documentation, quality—not quantity—is what counts.

Tackle the biggest challenges for clinical documentation improvement (CDI) in ICD-10 without breaking a sweat. TCI’s documentation specialists unravel CDI for EMRs, E/M, hospice, home health, and more in the Clinical Documentation Sourcebook 2018.

This indispensable resource covers joint/shared visits, incident-to billing, preventative care visits, and the global surgical package. The ICD-10 CDI toolkit, along with clear and effective guidance to predominate issues in CDI, will improve your productivity—and your bottom line.

Rev up your clinical documentation accuracy for optimal reimbursement:

  • Grasp the legal aspects of documentation
  • Anticipate and dodge documentation pitfalls
  • Hone in on specificity
  • Avoid documentation problems identified by CERT/RAC
  • Know the facts about EMR templates—and the pitfalls of auto-populate features in EMRs
  • Don’t make these EMR errors
  • Ace documentation in the EMR with guidelines and tips
  • Avert compliance issues with these pointers
  • Take caution with the toughest challenges for CDI in ICD-10
  • Capitalize on tips to select the correct diagnosis code from the superbill
  • Benefit from auditing advice for ICD-10 and CDI
  • Know Medicare eligibility criteria for home care
  • Conquer documentation for E/M coding
  • Nail down CDI time-based coding for E/M
  • Pointers for trauma, infection, and medical conditions documentation
  • Master coding the initial preventative physical examination for Medicare
  • Take stock of common deficiencies in home care documentation

Sharpen your clinical documentation know-how:

  • Coding examples and exercise
  • Real-life documentation scenarios
  • Rely on the ICD-10 CDI Toolkit
  • Leverage expert advice
  • Cash in on expert answers to the most prevalent CDI questions
  • Learn your way around documentation guidelines for E/M
  • And more!

Isn’t it time your documentation reflected the scope of services provided?
PRE-ORDER ONLINE or call 1-800-508-2582 today to get your copy of the Clinical Documentation Sourcebook 2018.