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HCPro (HCPro)

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2021 E/M Office Visit Reference Guide

ISBN: 9781645350545
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2021 E/M Office Visit Reference Guide

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2021 E/M Office Visit Reference Guide

The new 2021 E/M documentation guidelines are set to take effect Jan. 1, 2021, and are expected to create a sea change in how medical practices select a level of E/M service. The revised reporting requirements mark the first significant update in more than 20 years since the release of the 1995 and 1997 documentation guidelines.

The 2021 E/M Office Visit Reference Guide delivers a comprehensive overview of the new E/M documentation guidelines and a clear, in-depth analysis of the 2021 changes, including the confusing new medical decision-making (MDM) guidelines so that you can ensure a seamless shift to the new guidelines.

Use the 2021 E/M Office Visit Reference Guide to train staff, reduce the risk of miscoding and the denials and audits that may result, and lessen the disruption to a key revenue stream. E/M office visits account for 20% of total physician fee schedule charge. In 2018, practices gained $15.6 billion in payments from Medicare for the suite of E/M office visit codes 99201-99215.

Additionally, the 2021 E/M Office Visit Reference Guide will help you:

  • Guarantee a successful and smooth transition to the new system with best practices on how to revise superbills and templates; what to know about working with third-party vendors such as electronic health record (EHR) providers; and how to manage two different E/M systems simultaneously.

  • Ensure your coders are accurately selecting the correct level of service for E/M office visits with office and staff training tips, including separate breakout sections for coders and clinicians; audit safeguards; and more.

  • Train clinicians on the 2021 documentation changes with several dozen documentation scenarios that clearly illustrate how a coder/clinician should accurately select a Level 1, 2, 3, 4 or 5 E/M code. The book will present scenarios tailored to specific specialties.

  • Understand the level of medical decision-making or time for code selection with comprehensive coverage of MDM and time elements.

CMS Hosp Cond of Partic & Interp Guide

ISBN: 9781683089698
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CMS Hosp Cond of Partic & Interp Guide

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JustCoding's Practical Guide to Coding

ISBN: 9781683089506
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JustCoding's Practical Guide to Coding

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MDS 3.0 RAI User's Manual

ISBN: 9781645350279
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MDS 3.0 RAI User's Manual

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MDS 3.0 RAI User's Manual

This version of the MDS 3.0 RAI Manual incorporates clarifications to existing coding and transmission policy; it also addresses clarifications and scenarios concerning complex areas. Since the preliminary release of the manual on May 20, 2019, changes have been made to clarify which assessments swing bed providers must complete; the definition of the “interruption window” for interrupted Part A-covered stays; the coding of item I0200B; and changes related to group therapy policies, as well as other corrections.

Purchasing a copy of this updated MDS 3.0 RAI User's Manual will help you: 

  • Remain compliant and informed with the latest updates
  • Complete the MDS using the government’s word-for-word instructions 
  • Save money with this budget-friendly alternative to other manuals on the market
  • Complete assessments, ensure proper reimbursement, and provide quality care for your residents

The Guide for Graduate Medical Education

ISBN: GMENAS2
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The Guide for Graduate Medical Education

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The Guide for Graduate Medical Education Offices and Program Coordinators

The Guide for Graduate Medical Education Offices and Program Coordinators provides the office of graduate medical education (GME) and program coordinators the guidance need to successfully run a GME program together. Author Vicki Hamm, C-TAGME, provides how-to guidance and tools for implementing ACGME Institutional Requirements, institutional policies, crafting resident/fellow contracts, managing evaluations, maintaining program accreditation, and other daily duties. This book contains sample policies and forms to customize for your institution.

This book will guide your GME operations so that you can achieve compliance with ACGME requirements; support your program directors, and faculty; and most importantly, produce trainees who become skilled physicians as they move from the educational continuum to the independent practice of medicine.

This handbook will help you:

  • Meet ACGME Institutional Requirements through solid policies and procedures
  • Develop strategies for protecting the time of program directors, coordinators, and faculty
  • Keep up with continuous accreditation requirements, including CLER visits and the 10-year self-study
  • Manage evaluations and report program performance measures
  • Conduct special internal reviews to help underperforming programs
  • Establish a competent and confident GME committee

The Residency Coordinator's Handbook

ISBN: 9781645350019
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The Residency Coordinator's Handbook

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Residency program coordinators shoulder the broad responsibility of not only ensuring their program meets accreditation requirements but also making sure residents, faculty, and program directors have all of the resources they need. But coordinators themselves need a resource they can rely on, too: a reference that covers the wide- ranging tasks that come up in their day-to-day duties. Now updated to reflect the latest ACGME Common Program Requirements, The Residency Coordinator's Handbook, Fourth Edition offers residency program and fellowship coordinators the education and field-tested solutions they need to ensure a successful and efficiently run residency/fellowship program. With contributors from an array of backgrounds, this book offers a global, multispecialty view of coordinator duties. New and veteran coordinators will benefit from the guidance, sample policies, and program tools they can implement immediately. This product will help residency program coordinators: Manage a training program that exceeds ACGME requirements Define and grow the role of the program coordinator Understand GME and related terminology Manage the recruitment, orientation, and credentialing processes Create a work environment that supports coordinators, faculty, and resident well-being Develop a stronger relationship with program directors Identify the key components and structure of program accreditation This latest update of the Coordinator's Handbook covers the new ACGME Common Program Requirements and includes new chapters on: Transitioning from AOA to ACGME accreditation Developing and managing an ACGME-I accredited program Program coordinator wellness Putting the Common Program Requirements into action

2018 CDI Pocket Guide

ISBN: 9781683086628
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2018 CDI Pocket Guide

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The new edition of the best-selling CDI Pocket Guide by authors Dr. Richard Pinson and Cynthia Tang has been comprehensively updated for 2018. This authoritative CDI reference guide focuses on the most common opportunities to improve clinical documentation, coding, and DRG assignment impacting reimbursement, severity of illness, quality reporting, and pay-for-performance. Its five sections--Guidelines, Key References, Comorbid Conditions, DRG Tips, and the MS-DRG Table--are designed for quick and easy reference. A compact, portable resource, the CDI Pocket Guide is essential for new or experienced CDI specialists, coders, physician advisors, and any others involved in CDI.

2019 Outpatient CDI Pocket Guide

ISBN: 9781683088738
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2019 Outpatient CDI Pocket Guide

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Let the new 2019 edition of the Outpatient CDI Pocket Guide show you how to master Hierarchical Condition Categories (HCC). The 2019 Outpatient CDI Pocket Guide: Focusing on HCCs features an easy-to-understand approach, boiling HCCs down to a few basic principles that, when mastered, make them a breeze. Authors Richard Pinson and Cynthia Tang explain how HCCs affect both providers and payers and clarify the chief considerations in outpatient reimbursement, documentation, and coding guidelines. You will benefit from this guide if you are a CDI or coding specialist, risk adjustment auditor, nurse, or physician who seeks to: - Focus on areas of greatest impact as you expand your CDI program to the outpatient setting - Improve capture of HCC diagnoses that will optimize hospital and physician risk adjustments for value-based payments - Increase risk adjustment factor scores for Medicare Advantage health plans - Ensure your organization's outpatient coding practices are compliant and meet clinical validation and documentation requirements

 

2020 Home Health Conditions

of Participation Answers

ISBN: 9781683089841
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2020 Home Health Conditions

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2020 Home Health ICD-10-CM Coding

Answers

ISBN: 9781683089407
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2020 Home Health ICD-10-CM Coding

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2020 ICD-10-CM Wound Coding & OASIS

Field Guide

ISBN: 9781683089421
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2020 ICD-10-CM Wound Coding & OASIS

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2021 Complete Home Health ICD-10-CM

Diagnosis Coding Manual

ISBN: 9781645350538
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2021 Complete Home Health ICD-10-CM

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2021 Home Health ICD-10-CM Coding

Answers

ISBN: 9781645350484
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2021 Home Health ICD-10-CM Coding

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2021 ICD-10-CM Expert for Hospitals/

Payers

ISBN: 9781645350361
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2021 ICD-10-CM Expert for Hospitals/

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2021 ICD-10-CM Wound Coding & OASIS

Field Guide

ISBN: 9781645350507
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2021 ICD-10-CM Wound Coding & OASIS

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2021 Orthopedic Coding & Documentation

Trainer

ISBN: 9781645350460
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2021 Orthopedic Coding & Documentation

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2021 Pain Management Coding Answers

ISBN: 9781645350392
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2021 Pain Management Coding Answers

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ACDIS CDI Apprenticeship

ISBN: ACDISCDIAPP
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ACDIS CDI Apprenticeship

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CDI Workbook

Investigating Complex Cases and Formulating Queries

ISBN: CDICSQ
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CDI Workbook

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Evaluation & Management Coding &

Documentation for CDI Professionals

ISBN: 9781683088080
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Evaluation & Management Coding &

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