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Risk Adjustment Documentation & Coding, 2nd Edition NEW TITLE

Softbound, 8 1/2" x 11"
Risk-adjustment practices consider chronic diseases as predictors of future health care needs and expenses. Correct and detailed documentation and compliant diagnosis coding are critical for proper risk adjustment. Uses Risk Adjustment Documentation & Coding, 2nd Edition provides: Risk-adjustment parameters to improve documentation related to severity of illness and chronic diseases. Code abstraction guidelines and recommendations to improve diagnostic coding accuracy without causing financial harm to the practice or health facility. Chronic disease ICD-10-CM coding summaries for quick reference and study. Features and Benefits Five chapters delivering an overview of risk adjustment, common administrative errors, best practices, an alphabetized, topical review of clinical documentation improvement and coding for risk-adjustment, and guidance for development of internal risk-adjustment coding policies. Three appendices offering mappings, tabular information, and documentation and abstraction training tools for coders and physicians that include an alphanumeric mapping of ICD-10-CM codes that risk-adjust to HCCs and RxHCCs for Medicare Advantage plans. Learning and design features: Vocabulary terms highlighted within the text and defined at the bottom of the page. “Advice/Alert Notes” that highlight important coding and documentation advice from federal regulatory sources. Sidebars” that provide derivative story and additional information, such as: “Coding Tips” with practical advice from sources like AHA’s Coding Clinic and cautionary notes about conflicts and exceptions. “Clinical Examples” that underscore key documentation issues for risk adjustment. “Clinical Coding Examples” that provide notes and codes to illustrate risk-adjustment, coding and documentation concepts. “Documentation tips” that highlight recommendations to physicians regarding what should be included in the medical record or how ICD-10-CM may classify specific terms. “Examples” that explain difficult concepts and promote understanding of those concepts. “Abstract & Code It!” exercises that test diagnosis abstraction and coding skills. End-of-chapter “Evaluate Your Understanding” sections that include multiple-choice questions, true-or false questions, audit and Internet-based exercises. Two downloadable course tests and slide presentations for each chapter. Exclusive content for academic educators: A test bank containing 100 questions and a mock risk-adjustment certification exam with 150 questions.
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  • Retail price: $109.95
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  • Page Count: 500
  • Publisher: American Medical Association
  • Published: 3/2/2020
  • ISBN: 9781640160392