Get the guidance you need to make your CDI program the best there is...
The Clinical Documentation Improvement Specialist's Handbook, Second Edition, is an all-inclusive reference to help readers implement a comprehensive clinical documentation improvement (CDI) program with in-depth information on all the essential responsibilities of the CDI specialist.
This edition helps CDI professionals incorporate the latest industry guidance and professional best practices to enhance their programs.
Co-authors Heather Taillon, RHIA, and Marion Kruse, MBA, RN, combine their CDI and coding expertise to explain the intricacies of CDI program development and outline the structure of a comprehensive, multi-disciplinary program.
In this edition you will learn how to:
- Adhere to the latest government and regulatory initiatives as they relate to documentation integrity
- Prepare for successful ICD-10 transition by analyzing your CDI program
- Step up physician buy-in with the improved education techniques
- Incorporate the latest physician query guidance from the American Health Information Management Association (AHIMA)
Table of Contents
Chapter 1: Building the CDI Program
Chapter 2: CDI and the healthcare system
Chapter 3: Application of coding guidelines
Chapter 4: Compliant physician queries
Chapter 5: Providing physician education
Chapter 6: Monitoring the CDI program
What's new in the Second Edition?
- AHIMA's 'Managing an Effective Query Process' and 'Guidance for Clinical Documentation Improvement Programs.'
- CMS guidance from new IPPS regulations, MLN Matters articles, Quality Improvement Organizations, and the Recovery Audit Contractor (RAC) program, among others
- Strategies to help you incorporate the guidance into your CDI program.
- Tools to help you interpret MAC initiatives and RAC focus areas to enhance your CDI program and help prevent audit takebacks
- New sample queries, forms, tools, and industry survey data
BONUS TOOLS!
This book also includes bonus online tools you can put to use immediately!
- Sample query forms
- Sample job descriptions for CDI managers, and CDI specialists
- Sample evaluation form for CDI staff
- Sample pocket guide of common documentation standards
