(Ebook) ICD-10-CM Documentation: Essential Charting Guidance to Support Medical Necessity 2019 by American Medical Association ISBN 9781622027774, 1622027779

(Ebook) ICD-10-CM Documentation: Essential Charting Guidance to Support Medical Necessity 2019 by American Medical Association ISBN 9781622027774, 1622027779

ICD-10-CM requires very specific documentation to correctly choose diagnostic codes, a skill that both coders and physicians
must master to code successfully. Moving beyond the transition to ICD-10, the new edition focuses on the key role proper
documentation plays in supporting medical necessity.
ICD-10-CM Documentation 2019brings coders and physicians together to ensure documentation success, identifying all
ICD-10-CM documentation requirements using detailed checklists.
Designed for use alongside an ICD-10-CM codebook, this comprehensive training guide provides all the tools necessary to
conduct an effective documentation analysis and to create a corrective action plan, making it ideal for both non-facility and
facility coders. The chapter organization mirrors the structure of codebooks and all guidance is geared toward the process
of code decision-making. In addition, exercises and quizzes test knowledge and understanding of key points throughout
the book.
Features and Benefits
•New codes, revisions and deletions, plus guideline updates for 2019— final 2019 changes will be integrated into every
pertinent chapter, checklist, scenario and quiz
•Detailed, full-page anatomy illustrations— for better interpretation of clinical notes
•Checklists to identify documentation elements— for categories, subcategories and codes
•Checklists for specialty-specific documentation— to review current records and identify any documentation deficiencies
•ICD-10-CM documentation scenarios— display documentation requirements with important elements highlighted
•CDI checklists— identify common documentation deficiencies faced when coding COPD, Pneumonia and Sepsis/SIRS
•Glossary of Medical Terminology
•Scenarios— illustrate required documentation in ICD-10-CM with additional ICD-10 requirements highlighted
so readers can understand where the documentation will appear in common coding scenarios based on real-life
health care encounters
•End of chapter quizzes— dive into coding practice with the conditions discussed in each chapter