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Clinical Doc Desk Ref ICD-10-CM

& Procedure Coding

Clinical documentation improvement (CDI) is not about how to code in ICD-10-CM or CPT®
. CDI is about
knowing what to look for in medical records and how to ask for clarification and get ongoing changes to the
notes and comments provided by physicians.
Important Note: The greater number of ICD-10-CM diagnostic codes means an even bigger need for
detailed clinical documentation. Making the correct code selection requires having adequate clinical detail,
and under ICD-10-CM, clinician's documentation will more than ever translate into reimbursement gained or

Key Features and Benefits
• Optum Edge — HCC and QPP icon alerts added at the code level to aid in coding.
• Optum Edge — A list of medications is noted for codes that are deemed applicable.
• Optum Edge — The “Clinician’s Checklist for ICD-10-CM.” Make copies of this handy trifold,
pocketsize card for every clinician. Provides powerful documentation tips for the 5 most important
chronic and acute conditions.
• Diagnoses and Procedures — Covers documentation for CPT®
, HCPCS, and ICD-10-CM coding.
Enhance your code selections with documentation requirements for all three coding systems.
• Physician Documentation Training. Show physicians what they need to document. Documentation
training includes 21 detailed documentation checklists for the most common and complex medical
• Don’t teach your clinicians to code ICD-10-CM. Instead show them what you need for optimal code
• See key terms. Confirm accurate code selection for every chapter of ICD-10-CM.
• Terminology Translator. This unique feature is included at the code level.
• Streamline the query process. Show physicians which medical terms are essential to assigning codes
in ICD-10-CM. Includes best practice query forms that get results without unduly influencing clinicians.
CPT is a registered trademark of the American Medical Association

  • This is a Featured item!
  • Retail price: $139.95
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  • Publisher: Optum360: Optum360 Coding Books
  • ISBN: 9781622549702