The Physician Advisor’s Guide to Clinical Documentation Improvement

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9781615693474: The Physician Advisor’s Guide to Clinical Documentation Improvement
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Physician advisors are not just needed for case management anymore. ICD-10-CM/PCS and the changing landscape of healthcare reimbursement make their input invaluable in the realm of CDI and coding, too. This book will help your physician advisors quickly understand the vital role they play and how they can not only help improve healthcare reimbursement, but also reduce claims denials and improve the quality of care overall.

This book will:

- Provide job descriptions and sample roles and responsibilities for CDI physician advisors
- Outline the importance of CDI efforts in specific relation to the needs and expectations of physicians
- Highlight documentation improvement focus areas by Major Diagnostic Category
- Review government initiatives and claims denial patterns, providing physician advisors concrete tools to sway physician documentation

Table of Contents

- CDI Foundation
- Risk and severity adjustments
- Payment models
- Coding foundations
- Query compliance
- Clinical conditions
- Regulatory oversight/auditors
- CDI program monitoring

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About the Author:

Trey La Charité, MD, is the physician advisor for the University of Tennessee Medical Center's clinical documentation integrity project and for coding. He completed his internship and residency training in internal medicine at UTMCK and is currently an assistant professor in the Department of Internal Medicine and a hospitalist at UTMCK. He previously served on the ACDIS advisory board.

James S. Kennedy, MD, CCS, CDIP, is the president of CDIMD-Physician Champions, a Nashville-based group of physicians, coders, and clinicians engaged nationwide as CDI physician advisors, ICD-10 medical informaticists, and DRG and HCC compliance advocates. His experience includes the private practice of medicine along with successful entrepreneurial healthcare-related business startups in the public and private sector. His expertise includes physician and hospital leadership, healthcare systems improvement, healthcare documentation and coding compliance, and government relations. He previously served on the ACDIS advisory board.

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Other Popular Editions of the Same Title

9781615693597: The Physician Advisor's Guide to Clinical Documentation Improvement

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ISBN 10:  1615693599 ISBN 13:  9781615693597
Publisher: HCPro, 2014
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HCPro a division of BLR; Trey La Charité MD; James S. Kennedy MD CCS CDIP
Published by HCPro a division of BLR (2014)
ISBN 10: 1615693475 ISBN 13: 9781615693474
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