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HCPro - CDI Software (HCPro)

44 products found

2023 ACDIS Outpatient Pocket Guide

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ISBN: 9781645351900
HCPro - CDI Software

2023 ACDIS Outpatient Pocket Guide

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2023 ACDIS Pocket Guide

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ISBN: 9781645351887
HCPro - CDI Software

2023 ACDIS Pocket Guide

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2023 JustCoding Pocket Guide

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ISBN: 9781645351917
HCPro - CDI Software

2023 JustCoding Pocket Guide

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2024 ACDIS Outpatient Pocket Guide

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ISBN: 9781645352754
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2024 ACDIS Outpatient Pocket Guide

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2024 ACDIS Pocket Guide

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ISBN: 9781645352747
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2024 ACDIS Pocket Guide

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CDI professionals need a day-to-day reference when conducting their medical record reviews—one that can provide trusted clinical indicators for compliant and effective physician queries and at-a-glance, easy-to-use comorbidity lists.

The ACDIS Pocket Guide is the essential resource for regulatory and coding guidance, IPPS reimbursement updates, compliant query best practices and standards, clinical validation, and diagnostic definitions. Co-written by Laurie Prescott, ACDIS’s interim director and CDI education director, and Dr. James Manz, a practicing physician steeped in the latest physician documentation terminology, the ACDIS Pocket Guide is a winning combination of practical, tailored CDI tips and resources and clinical, regulatory, and coding guidance adapted from the official sources.

The 2024 ACDIS Pocket Guide offers the latest information CDI professionals need to know including:

Fiscal Year (FY) 2024 guidelines
AHA 2023 Coding Clinic guidance
New provider tips from James Manz, MD, CCDS-O of Mayo Clinic
Updated entries for chronic kidney disease, neoplasms, cerebral edema, and more!
75+ conditions
Plus, the Comorbid Conditions Offering Impact table has been updated include more specific codes and to highlight those conditions that directly impact certain Centers for Medicare & Medicaid (CMS) quality programs: Hospital-Acquired Conditions (HAC), Patient Safety Indicators (PSI), 30-Day Mortality, and Hospital Readmissions Reduction Program/30-Day Readmissions (HRRP).

 

2024 JustCoding Pocket Guide

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ISBN: 9781645352761
HCPro - CDI Software

2024 JustCoding Pocket Guide

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A Prescription to Lead

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ISBN: 9781645352273
HCPro - CDI Software

A Prescription to Lead

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CCDS Exam Study Guide, 5th Edition

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ISBN: 9781645351931
HCPro - CDI Software

CCDS Exam Study Guide, 5th Edition

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CDI and Quality Reporting:

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ISBN: 9781645350149
HCPro - CDI Software

CDI and Quality Reporting:

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CDI Field Guide Denial Prevention 2nd Ed

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ISBN: 9781645352679
HCPro - CDI Software

CDI Field Guide Denial Prevention 2nd Ed

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CDI WB: Investigating Complex Cases

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ISBN: 9781683088066
HCPro - CDI Software

CDI WB: Investigating Complex Cases

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Clinical Validation Reviews for CDI Pros

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ISBN: 9781683088400
HCPro - CDI Software

Clinical Validation Reviews for CDI Pros

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CMS Conditions of Participation and Inte

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ISBN: 9781645350187
HCPro - CDI Software

CMS Conditions of Participation and Inte

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E/M Bell Curve Sourcebook

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ISBN: 9781645352334
HCPro - CDI Software

E/M Bell Curve Sourcebook

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With the 60-day overpayment rule in effect, which imposes stiffer than ever penalties for common coding mistakes, this resource is must-have to protect your practice!

The 2024 E/M Bell Curve Sourcebook is the most comprehensive tool you’ll find to help you test and assess your E/M billing and utilization patterns to spot red flags of under- or over-coding and correct your behaviors to drive down audit risk.

This data-driven analysis workbook allows you plot your own E/M billing utilization numbers against national averages to see how your coding matches up in a matter of seconds. But it doesn’t stop there – you also get official E/M coding guidelines and guidance to help you adjust your coding up or down. In addition, you get E/M case scenarios and audit tool templates to practice and self-test for correct E/M auditing.

The 2024 E/M Bell Curve Sourcebook has it all – order yours today!

Features include:

UPDATED! E/M utilization data—for 48 E/M codes for 59 different specialties, including recently-added specialties Interventional Cardiology, Cardiac Electrophysiology, Hospitalist, Hospice and Palliative Care

UPDATED! Access to easy bell-curve generation—You’ll be given access to a site where you’ll be able to download and save pre-populated spreadsheets, organized by specialty, to help you save time and zero-in on unique E/M billing patterns

Expanded bell curve templates—quickly chart billing patterns against national norms

 

E/M Office Visit Reference Guide

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ISBN: 9781645352341
HCPro - CDI Software

E/M Office Visit Reference Guide

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The E/M Office Visit Reference Guide, Third Edition delivers a comprehensive overview of the E/M documentation guidelines and a clear, in-depth analysis of all updates and changes, including guidance on the medical decision-making (MDM) guidelines so that you can ensure accurate coding and billing.

Use the E/M Office Visit Reference Guide, Third Edition 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. Given the amount of reimbursement dollars tied to the E/M codes, a lack of readiness could spell financial disaster. E/M office visits account for 20% of total physician fee schedule charges. In 2018, practices gained $15.6 billion in payments from Medicare for the suite of E/M office visit codes 99201-99215.

With the E/M Office Visit Reference Guide, Third Edition you can:

Get a first look at the 2024 E/M fees.

Take a deep dive into recent changes for facility-based coding.

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.

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

Receive guidance from the AMA that you won’t find in your CPT Manual.

Get official CMS guidance on the E/M office visit documentation guidelines and detail the differences among regional Medicare administrative contractor (MAC) guidance.

Take a look at how private payers are setting rules and releasing guidance.

Review the "pain points" that are impacting practices and get solutions.

Understand the differences between CPT and HCPCS prolonged services coding.

Train clinicians 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.

Get vital FAQs based on upcoming updates and changes. The book's expanded FAQ section will answer confusing, hot-button items, such as the "data review" column of the MDM table.

 

Effective Peer Review

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ISBN: 9781683085959
HCPro - CDI Software

Effective Peer Review

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Effective Peer Review, Fourth Edition

Robert J. Marder, MD

Peer review continues to rate as a top challenge in healthcare organizations. Even if they are meeting regulatory standards, organizations struggle to develop a peer review program that is unbiased and meaningful, making it difficult to change physicians’ punitive view of the process.

Now in its fourth edition, Effective Peer Review has been significantly updated and revised, providing even more practical details and policies to help medical staffs reduce peer review bias and implement an approach focused on performance improvement. The book addresses ways to enhance all of the components of a successful competency assessment program, from case review to OPPE and FPPE, with entire chapters dedicated to medical staff culture, multispecialty peer review, and avoiding peer review pitfalls.

New to this edition are chapters that tackle case review from all angles, with detailed guides for peer review coordinators, physician reviewers, and peer review committees. There are also policies for successful OPPE, updated metrics to help measure the effectiveness of your program for case review and OPPE, and guidance on reporting results to the medical executive committee and the board. This edition also looks at how the changing healthcare landscape is affecting competence assessment, such as how to conduct peer review on a healthcare team or outside of the traditional hospital walls.

This book provides:

  • Practical, proven techniques to eliminate bias and develop meaningful physician performance improvement opportunities
  • A detailed guide to creating a dynamic multispecialty peer review committee
  • Proven methods for conducting meaningful case review from case identification to committee decision and follow-up
  • Case studies from the field to illustrate key concepts
  • A step-by-step guide for peer review self-assessment and redesign
  • Approaches to engage physicians in the peer review process
  • National Practitioner Data Bank reporting requirements and other regulations related to peer review


This updated edition includes:

  • How to conduct case review from every position: peer review coordinator, physician reviewer, and peer review committee
  • Metrics to measure the effectiveness of your peer review program
  • Information on conducting peer review with a healthcare team
  • Sample policies, forms, and procedures for case review, OPPE, and FPPE
  • New and expanded case studies

HCPCS Level II Expert

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ISBN: 9781645352365
HCPro - CDI Software

HCPCS Level II Expert

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With the newest 2024 edition, have everything you need to know about each HCPCS code including new guidance, changes to APC and ASC payment icons and updates to Pub 100 information and modifiers. Not to mention helpful advice, and code-specific details, such as icons and helpful reimbursement indicators, all at your fingertips for easy access within seconds.

Features include:

UPDATED! New, revised and deleted HCPCS Level II Codes—with icons to identify changes

UPDATED! Expanded alphabetical index— organized with guidance and input from experienced coding and billing professionals

UPDATED! DMEPOS icons—identify Medicare allowed billing opportunities for durable medical equipment, prosthetics, orthotics and supplies

UPDATED! Deleted codes crosswalks—display valid codes that have replaced temporary codes and other deletions

UPDATED! National Coverage Determination (NCD) policy code-level citations—ensure compliance with Medicare coverage policy for certain procedures and professional services

UPDATED! Medicare Pub 100 information—with associated code and an Appendix of full descriptions

UPDATED! Table of Drugs Appendix—with J codes cross-referenced to brand names

UPDATED! APC and ASC payment icons—show those codes payable under Outpatient Prospective Payment Systems (OPPS) and those that can use 18 ASC groupings

UPDATED! AHA Coding Clinic for HCPCS— identify where to find critical guidance on challenging HCPCS Level II codes or sections

UPDATED! Age and sex edit icons—indicate code restrictions at a glance, based on patient information

UPDATED! Icons for specific payment rules— indicate coverage rules and patient responsibility for drugs and services not reimbursed by Medicare

UPDATED! High-quality illustrations—provide visual insight into specific equipment, supplies and services

UPDATED! Plain English definitions—for the most common HCPCS DME and drug codes to help you quickly identify these supplies to enhance coding and critical-thinking skills

 

ICD-10-CM Expert for Hospitals/Payers

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ISBN: 9781645352372
HCPro - CDI Software

ICD-10-CM Expert for Hospitals/Payers

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The 2024 ICD-10-CM Expert for Hospitals/Payers is designed with simple navigation, to help you find codes faster and boost productivity. More than just the most recent code set for accurate diagnosis coding, you also get official guidelines, definitions and expert tips so you won’t lose out on reimbursement payments due to coding errors. This manual is organized the way coders are accustomed to viewing the code set, featuring the alphabetic index and tabular, plus code descriptions and conventions

Get easy-to-understand coding information from experts that you can rely on to code claims accurately, prevent denials and secure every reimbursement dollar earned.

Features include:

NEW! Neoplasm Table moved into its own section for easier reference so that you can quickly find the correct Neoplasm code (see Neoplasm Table sample page).

UPDATED! Complete HIPAA-mandated ICD-10-CM code set—all ICD-10-CM codes and descriptions, organized across 21 chapters, including external causes and reasons for visit

UPDATED! Appendices—all new, revised, deleted codes

UPDATED! Muscle and nerve tables—providing crosswalks to codes

UPDATED! Risk hierarchical condition code flag icon—added to comply with risk adjustment reporting requirements

UPDATED! ICD-10 Official Guidelines embedded in the Tabular—at the code level for the most commonly-used codes so that you can quickly access the rules you’ll need to code accurately

UPDATED! Official Index—to easily navigate the new coding system using the index to the tabular section and the index to the external causes

UPDATED! ICD-10 MS-DRG reimbursement edits—CC and MCC icons alert facility coders to diagnoses that act as both primary and complicating/major complicating conditions

UPDATED! Hospital Acquired Condition (HAC) icons—on those codes that trigger CMS’ HAC policy, indicating conditions that when not present on admission result in the hospital not receiving a higher paying MS-DRG.

UPDATED! More than 200 code-specific illustrations—encourage better interpretation of clinical notes and ensure assignment of the correct code

UPDATED! ICD-10 guidelines excerpts—embedded in the tabular at the code level

UPDATED! Medical term definitions—clarify diseases and conditions

UPDATED! Tables and indexes—including the Neoplasm and Drug and Chemical Tables and External Causes and Alphabetic Disease Indexes

EXCLUDES 2 conventions—included along with all other coding conventions (Includes, Clarifying Terms, Code First and Use Additional Code notes)

Placeholder “X”—added to 3-, 4- and 5-character codes requiring 7th characters with a dash (-) in the 7th character position to identify it is needed

Defining ICD-10-CM—includes a background on ICD-10 and its conventions

7th character icons—indicate codes that require a 7th digit to ensure specificity and validity

Color coding—color sidebars for easy identification of chapters

Manifestation Code highlights—indicate codes that require pairing, plus blue “Code First” notes highlight manifestation codes requiring an etiology code

 

ICD-10-CM Expert for Physicians

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ISBN: 9781645352389
HCPro - CDI Software

ICD-10-CM Expert for Physicians

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The 2024 ICD-10-CM Expert for Physicians is designed with simple navigation to help you find codes faster and boost your productivity.

Ensure your practice has the official ICD-10 code manual that has everything a medical practice coder needs for accurate and efficient diagnosis coding, as well as full HIPAA compliance.

More than just the code set, you also get official guidelines, definitions, and expert tips so you won’t lose out on reimbursement payments due to coding errors. This manual is organized the way coders are accustomed to viewing the code set, featuring the alphabetical index and tabular, plus code descriptions and conventions. You won’t need any other ICD-10-CM coding reference.

Get easy-to-understand coding information from the experts that you can rely on.

Features include:

NEW! Neoplasm Table moved into its own section for easier reference so that you can quickly find the correct Neoplasm code (see Neoplasm Table sample page).

UPDATED! Complete HIPAA-mandated ICD-10-CM code set—all ICD-10-CM codes and descriptions, organized across 21 chapters, including external causes and reasons for visit

UPDATED! Risk hierarchical condition code flag icon—added to comply with risk adjustment reporting requirements

UPDATED! Official Index—to easily navigate the new coding system using the index to the tabular section and the index to the external causes

UPDATED! Tables and indexes—including the Neoplasm and Drug and Chemical Tables and External Causes and Alphabetic Disease Indexes

UPDATED! ICD-10 guidelines excerpts — embedded in the Tabular at the code level for the most commonly-used codes so that you can quickly access the rules you’ll need to code accurately

UPDATED! Coding Tips—offer guidance and raise red flags to encourage compliance and accurate reimbursement

UPDATED! More than 200 code-specific illustrations —encourage better interpretation of clinical notes and ensure assignment of the correct code

UPDATED! Medical term definitions— clarify diseases and conditions

UPDATED! Appendices—all new, revised, deleted codes

UPDATED! Muscle and tendon tables—providing crosswalks to codes

EXCLUDES 2 conventions—included along with all other coding conventions (Includes, Clarifying Terms, Code First and Use Additional Code notes)

Placeholder “X”—added to 3-, 4- and 5-character codes requiring 7th characters with a dash (-) in the 7th character position to identify it is needed

7th character icons—indicate codes that require a 7th digit to ensure specificity and validity

Manifestation Code highlights—indicate codes that require pairing, plus blue “Code First” notes next to highlight manifestation codes requiring an etiology code

 

ICD-10-PCS Expert

Retail:
ISBN: 9781645352402
HCPro - CDI Software

ICD-10-PCS Expert

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DecisionHealth’s 2024 ICD-10-PCS Expert enables coders to familiarize themselves with valid code construction via tables rather than code lists, making this resource very easy to use. Quickly navigate the 16 sections and get up to speed on the PCS coding system with tables arranged by general procedure type, and official guidelines for coding and reporting. Plus, all the knowledge required to assign the correct ICD-10-PCS codes!

Stay HIPAA compliant and get easy-to-understand coding information from experts that you can rely on for accurate and efficient procedural coding.

Features include:

UPDATED! All ICD-10-PCS codes and full descriptions—all 70,000+ ICD-10-PCS codes and their official code descriptions, listed sequentially for easy lookup.

UPDATED! Official ICD-10-PCS Coding Guidelines—for assigning codes in the Medical, Surgical and Obstetrics sections

UPDATED! Tables for code selection—organized into 16 sections for easy reference, each containing detailed tables that specify valid combinations of code values

UPDATED! Instruction regarding ICD-10-PCS conventions—including the unique 7-character structure and its dependencies

UPDATED! Coverage icons—identify non-covered and limited coverage procedures

UPDATED! Alphabetical index—listing procedures by keyword

UPDATED! ICD-10-PCS coding scenarios—more than 100 procedure descriptions to test your use of the alphabetic index and code tables, with answers provided in the appendix

 

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