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
Chapter 1: CDI Foundation
Chapter 2: ICD-9-CM and ICD-10 Coding Rules and Guidance
Chapter 3: Multiple Coding and Reimbursement Systems
Chapter 4: Physician Queries and Coding Compliance
Chapter 5: Identifying Clinical Indicators
Chapter 6: Medical Staff Support
Chapter 7: Evaluating CDI Success
Appendices
"synopsis" may belong to another edition of this title.
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 managing director in the FTI Healthcare group of FTI's corporate finance practice in Brentwood, Tenn. 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.
"About this title" may belong to another edition of this title.
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