ICD-10-CM Documentation 2018: Essential Coding Guidance to Support Medical Necessity

ICD-10-CM Documentation 2018: Essential Coding Guidance to Support Medical Necessity

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ICD-10-CM Documentation 2018: Essential Charting Guidance to Support Medical Necessity identifies the more detailed ICD-10-CM documentation requirements and information vital to successful ICD-10-CM coding. This collection of best practices provides tools for an effective documentation analysis along with a corrective action plan.

Uses

Moving beyond the transition to ICD-10, the new edition focuses on the key role proper documentation plays in supporting medical necessity.

Identify Detailed Documentation Requirements for ICD-10-CM Optimized Coding

The ICD-10-CM documentation requirements are essential to ICD-10-CM compliance. This collection of ICD-10-CM best practices provides ICD-10-CM analysis tools to assist in ICD-10-CM documentation improvement.

Features

The new edition of ICD-10-CM Documentation emphasizes the key role proper documentation plays in supporting medical necessity.

Features include:

  • Updated codes! Content updates reflect the 2018 ICD-10 addendum
  • Discussion of the ICD-10-CM code set organization and includes and excludes notes
  • A general overview of documentation requirements
  • The official ICD-10-CM guidelines
  • The requirements for specific conditions, diseases and disorders
  • End-of-chapter quizzes to test the readers retention and understanding of the content
Information to Help Comply with ICD-10-CM Documentation Requirements

ICD-10-CM documentation requirements are more detailed for assignment of the most specific diagnosis code(s). ICD-10-CM Documentation identifies these ICD-10-CM guidelines and provides tools for effective ICD-10-CM documentation improvement along with a corrective action plan. Other highlights include:

  • Simple identification of diagnoses/conditions requiring additional documentation
  • Discussion of the relevant ICD-10-CM guidelines for coding and coding notes
  • Explanation of ICD-10-CM code categories and subcategories to identify specific documentation elements, like specific site or body part descriptions
  • General and specialty-specific checklists help to identify opportunities for ICD-10-CM documentation improvement
  • Chapter quizzes tests knowledge and retention of the important information