It's not the quantity of clinical documentation that matters—it's the quality. Is your clinical documentation improvement (CDI) program identifying your outliers? Does your documentation capture the level of ICD-10 coding specificity required to achieve optimal reimbursement? Are you clear on how to fix your coding and documentation shortfalls? Providing the most complete and accurate coding of diagnoses and site-specific procedures will vastly improve your practice’s bottom line. Get the help you need with the Clinical Documentation Reference Guide. This start-to-finish CDI primer covers medical necessity, joint/shared visits, incident-to billing, preventative care visits, the global surgical package, complications and comorbidities, and CDI for EMRs. Learn the all-important steps to ensure your records capture what your physicians perform during each encounter. Benefit from methods to effectively communicate CDI concerns and protocols to your providers. Leverage the practical and effective guidance in AAPC’s Clinical Documentation Reference Guide to triumph over your toughest documentation challenges. Prevent documentation deficiencies and keep your claims on track for optimal reimbursement: Understand the legal aspects of documentation Anticipate and avoid documentation trouble spots Keep compliance issues at bay Learn proactive measures to eliminate documentation problems Work the coding mantra—specificity, specificity, specificity Avoid common documentation errors identified by CERT and RACs Know the facts about EMR templates—and the pitfalls of auto-populate features Master documentation in the EMR with guidelines and tips Conquer CDI time-based coding for E/M The Clinical Documentation Reference Guide is approved for use during the CDEO® certification exam.

In Pro CDI 2 in Java EE 8, use CDI and the CDI 2.0 to automatically manage the life cycle of your enterprise Java, Java EE, or Jakarta EE application’s beans using predefined scopes and define custom life cycles using scopes. In this book, you will see how you can implement dynamic and asynchronous communication between separate beans in your application with CDI events. The authors explain how to add new capabilities to the CDI platform by implementing these capabilities as extensions. They show you how to use CDI in a Java SE environment with the new CDI initialization and configuration API, and how to dynamically modify the configuration of beans at application startup by using dynamic bean building. This book is compatible with the new open source Eclipse Jakarta EE platform and tools. What You Will Learn Use qualifier annotations to inject specific bean implementations Programmatically retrieve bean instances from the CDI container in both Java SE and Java EE when injecting them into an object isn’t possible Dynamically replace beans using the @Alternative annotation to, for example, replace a bean with a mock version for testing Work with annotation literals to get instances of annotations to use with the CDI API Discover how scopes and events interact Who This Book Is For Those who have some experience with CDI, but may not have experience with some of the more advanced features in CDI.

When it comes to clinical documentation, physician advisors have a range of important responsibilities, from query escalation to denials management and everything in between. With all these tasks on their plate, physician advisors are constantly pulled in different directions, making it hard to make the best use of their time. CDI Companion for Physician Advisors: Notes From the Field is designed to help physician advisors structure their time properly and carry out their CDI duties effectively and efficiently. This book will help physician advisors: Find their feet in the CDI role Identify tools to provide effective documentation education for physicians and CDI staff Engage medical staff in documentation improvement efforts Understand common documentation deficiencies for difficult diagnoses such as sepsis, heart failure, and kidney disease Work with their CDI team to tackle advanced record reviews in areas such as quality, audit defense, and outpatient HCCs Figure out how to best structure their time to carry out CDI duties

Clinical Documentation Improvement (CDI) Made Easy is a great resource and reference that every Clinical Documentation Improvement Specialist/Professional (CDIS/CDIP), coder, physician champion/advisor, and others involved in the CDI must have. The book is a compendium of sound clinical knowledge and experience, clinical documentation expertise, and quality, which will help the CDIS/CDIP and others maximize their potentials in performing their core duties. Whether you are a new CDIS trying to learn CDI or an experienced CDIS hoping to stay current with CDI world, or involved in the CDI, this book will be very valuable to you. Remember, accurate and quality documentation is a reflection of great patient care. "If it wasn't documented, and documented accurately, it never happened." This book clearly explained various query opportunities by Major Disease Classifications (MDCs) with some sample queries. It defines and analyses different disease processes, creates CDIS awareness and what to look for under various MDCs, ICD-10-CM/PCS, explained current CMS Pay for Performance (P4P), and the CDI responsibility under P4P, explained some pertinent coding guidelines, 2016 Official Coding Guidelines for Coding and Reporting, AHIMA/ACDIS practice brief for queries and compliance, and much more. I have no doubt in my mind that this book is a concise but a comprehensive tool and reference that anyone involved in CDI should always have at his/her side. The Author Anthony O Nkwuaku, RN, PHN, MSN, CPHQ, CCDS is very knowledgeable and experienced as a clinician, clinical instructor, and Clinical Documentation Improvement Specialist.

This workbook is intended to be a bridge between classroom learning and clinical training; to improve patient care and clinician confidence in practice. Common presentations in small animal practice are presented as real-world case studies while the reader is guided through work-up, critical thinking and problem solving to run the consultation efficiently. Key concepts of anatomy, physiology, radiology, clinical pathology, medicine and surgery are covered and readers are guided through history-taking and diagnostics to perform an effective consultation. Cases discussed include vaccinating the new kitten, castrating the new puppy, the puppy with diarrhoea, the blind cat, the head-shaking dog, the itchy dog. Categories of complaints covered include body weight, urinary problems, the digestive system, respiratory issues, eye problems, skin and soft tissue complaints, cardiovascular, reproductive, aural and neurological complaints. The aim is to present a problem-first approach and to encourage readers to think like clinicians rather than students by instilling a case-based problem solving approach. 5m Books

Discover the Jakarta EE Contexts and Dependency Injection (CDI 2.0) framework which helps you write better code through the use of well-defined enterprise Java-based components and beans (EJBs). If you have ever wanted to write clean Java EE code, this short book is your best guide for doing so: you will pick up valuable tips along the way from your author's years of experience teaching and coding. Introducing Jakarta EE CDI covers CDI 2.0 in detail and equips you with the theoretical underpinnings of Java EE, now Jakarta EE. This book is packed with so much that by the end of it, you will feel confident to use your new-found knowledge to help you write better, readable, maintainable, and long-lived mission-critical software. What You Will Learn Write better code with the Jakarta EE Contexts and Dependency Injection (CDI) framework Work with the powerful, extensible, and well-defined contextual life cycle for components Use CDI’s mechanism for decoupling application components through a typesafe event API Build typesafe interceptors for altering the behaviour of components at runtime Harness the well-defined qualifier system for easy isolation of beans Convert almost any valid Java type to a CDI managed bean with CDI’s producer mechanism Who This Book Is For Experienced enterprise Java, Java EE, or J2EE developers who may be new to CDI or dependency injection.

First Steps in Outpatient CDI: Tips and Tools for Building a Program Anny P. Yuen, RHIA, CCS, CCDS, CDIP Page Knauss, BSN, RN, LNC, ACM, CPC, CDEO Find best practices and helpful advice for getting started in outpatient CDI with First Steps in Outpatient CDI: Tips and Tools for Building a Program. This first-of-its-kind book provides an overview of what outpatient CDI entails, covers industry guidance and standards for outpatient documentation, reviews the duties of outpatient CDI specialists, and examines how to obtain backing from leadership. Accurate documentation is important not just for code assignment, but also for a variety of quality and reimbursement concerns. In the past decade, outpatient visits increased by 44% while hospital visits decreased by nearly 20%, according to the Medicare Payment Advisory Commission. However, just because physicians are outside the hospital walls doesn't mean they're free from documentation challenges. For these reasons, CDI programs are offering their assistance to physician practices, ambulatory surgical centers, and even emergency rooms. This book will explore those opportunities and take a look at how others are expanding their record review efforts in the outpatient world. This book will help you: Target the outpatient settings that offer the greatest CDI opportunities Understand the quality and payment initiatives affecting outpatient services Understand the coding differences between inpatient and outpatient settings Identify data targets Incorporate physician needs to ensure support for program expansion Assess needs by program type