CDI Pocket Guide and Outpatient CDI Pocket Guide Bundle

Pinson & Tang

$146.00$245.00

Fully updated for 2020, the CDI Pocket Guide Bundle by authors Dr. Richard Pinson and Cynthia Tang provides the key references to have ‘at your fingertips’ when working to ensure accurate, complete, and defensible documentation. Includes the original CDI Pocket Guide and the Outpatient CDI Pocket Guide: focusing on HCCs.

Offered as a downloadable e-book for laptop or tablet or the classic spiral-bound format sized to literally “fit in your pocket.” Choose the version right for you in the dropdown menu below.

Bundle both Guides together and save over 25%

CEUs:     N/A - AHIMA      N/A - AAPC
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Fully updated for 2020, the CDI Pocket Guide Bundle by authors Dr. Richard Pinson and Cynthia Tang provides the key references to have ‘at your fingertips’ when working to ensure accurate, complete, and defensible documentation.

Includes:

  • the CDI Pocket Guide: the original and still best resource for coding and clinical documentation integrity
  • the Outpatient CDI Pocket Guide: focusing on HCCs: features an easy to understand approach, boiling HCCs down to a few basic principles

The CDI Pocket Guide

The CDI Pocket Guide provides instant access to definitions, clinical criteria, terms to use or to avoid, and other critical information on the 55 diagnostic categories that account for 95% of all documentation improvement opportunities.

Now in its 13th edition, the CDI Pocket Guide has been the essential, go-to resource for anyone involved in coding and CDI.

  • Guidelines you must know to ensure appropriate documentation
  • Detailed descriptions of over 42 conditions with commonly seen documentation improvement opportunities
  • Additional information of use to CDI professionals and coders with CDI responsibilities

Bonus!  With every purchase of the original CDI Pocket Guide, you will have access to free live interactive webinars where Pinson & Tang experts present the most challenging diagnostic conditions and the latest industry changes. 

Important updates for 2020 include:

  • UPDATES to clinical diagnostic standards and key refinements to topics such as Atrial Fibrillation, Acute Kidney Injury, BMI, Excisional Debridement, Encephalopathy, Pancytopenia, Heart Failure, Pneumothorax, Deep Vein Thrombosis, Pneumonia (CAP), Healthcare Associated Pneumonia (HCAP), Antibiotic Resistance, Asthma, COPD, and Bronchitis
  • Revamp of Respiratory Failure to further define acute versus chronic respiratory failure and simplify this challenging topic
  • Crucial updates to Malnutrition and the new GLIM criteria
  • Helpful updates for understanding CMS-HCCs, HHS-HCCs, and Risk Adjustment, Pay for Performance and creating a compliant physician query
  • FY2020 CMS MCC-CC/DRG updates and latest Coding Clinic advice incorporated
  • New and updated medical resource references
  • Back by popular demand – DRG Tips section!
  • And much more…

Outpatient CDI Pocket Guide: focusing on HCCs

The first definitive reference guide for outpatient CDI. Fully updated for 2020, the Outpatient CDI Pocket Guide: Focusing on HCCs features an easy to understand approach, boiling HCCs down to a few basic principles and provides the key references to have ‘at your fingertips’ when working to ensure accurate, complete, and defensible documentation in the outpatient setting.

Authors Richard Pinson and Cynthia Tang explain how HCCs affect both providers and payers and clarify the chief considerations in outpatient reimbursement, documentation, and coding guidelines. Outpatient CDI Pocket Guide: Focusing on HCCs is appropriate for Clinical Documentation Integrity specialists, coders, risk adjustment auditors, nurses, or physicians.

Outpatient CDI Pocket Guide: Focusing on HCCs is your reference guide to steer you to documentation success for outpatient CDI and HCCs.

  • Focus on areas of greatest impact as you expand your CDI program to the outpatient setting
  • Improve capture of HCC diagnoses that will optimize hospital and physician risk adjustments for value-based payments
  • Increase risk adjustment factor scores for Medicare Advantage health plans
  • Ensure your organization’s outpatient coding practices are compliant and meet clinical validation and documentation requirements.

The eBook bundle version is provided in both .epub and .mobi format for compatibility across e-readers for Android, Apple, and Amazon Kindle devices.

CDI Pocket Guides are sent via USPS Priority mail. Allow 2-3 days for delivery. Price includes shipping. 

Contents: CDI Pocket Guide

Now in its 13th edition, the CDI Pocket Guide has been the essential, go-to resource for anyone involved in coding and CDI.

GUIDELINES

  • Coding Rules–Overview
  • Coding Rules–Principal Diagnosis
  • Coding Rules–Secondary Diagnosis
  • Coding Rules–Perinatal
  • APR-DRG Overview and Strategy
  • Cause and Effect
  • Clinical Validation
  • Coding and DRG Fundamentals
  • Complications of Care
  • HCCs and Risk Adjustment
    • Pay for Performance
    • Hospital P4P programs
  • Physician P4P programs
  • Present on Admission (POA)
  • Related Conditions “With” or “In”
  • Signs, Symptoms, and Unspecified Codes
  • The Compliant Query
  • Unrelated O.R. Procedure DRGs
  • What Documentation Counts?
    • Discharge summary

KEY REFERENCES

  • Acute Blood Loss Anemia
  • Acute Kidney Injury
  • Acute Tubular Necrosis
  • Asthma/Bronchitis/COPD
  • Body Mass Index (BMI)
  • Cardiac Arrest
  • Cardiac Dysrhythmia
  • Cerebral Edema/Compression
  • Cerebral Palsy
  • Cerebrovascular Accident (CVA)
  • Chronic Kidney Disease
  • Clostridium Difficile Colitis
  • Coagulation Disorders
  • Coma
  • Coma–Pediatrics
  • Cystic Fibrosis
  • Deep Vein Thrombosis
  • Depression and Bipolar Disorder
  • Diabetic Complications
  • Electrolyte Disorders
  • Encephalopathy
  • Excisional Debridement / Biopsy
  • Functional Quadriplegia
  • Heart Failure
  • HIV/AIDS
  • Hypertensive Crisis
  • Injuries & Fractures
  • Intellectual Disability
  • Malnutrition–Adult
  • Malnutrition–Pediatrics
  • Mechanical Ventilation
  • Myocardial Ischemia
  • Neoplasms
  • Pancreatitis
  • Pancytopenia
  • Pathologic Fractures
  • Pneumonia
    • Antibiotic resistance
  • Pneumothorax
  • Poisoning & Toxic Effects
  • Pulmonary Heart Disease (Cor Pulmonale)
  • Respiratory Abnormalities–Neonates
  • Respiratory Failure
  • P/F ratio
  • Blood gas measurements
  • Intubation for airway protection
  • Respiratory Failure–Chronic
  • Acute on chronic
  • Respiratory Failure–Pediatric
  • Respiratory Failure–Postprocedural
  • Due to other underlying conditions
  • Pulmonary insufficiency
  • Rhabdomyolysis
  • Sepsis-2
  • Sepsis-3
    • SOFA Score Table
  • Sepsis–Neonatal
  • Sepsis–Pediatric
  • Shock
  • SIRS–Non-Infectious
  • Skin Ulcers
    • Pressure ulcers
  • Substance Use, Abuse, Dependence
  • Transbronchial/Lung Biopsy
  • Transient Ischemic Attack (TIA)
  • QUICK REFERENCE

KEY REFERENCES

  • Comorbid Conditions–MCC/CC/HCC
  • Comorbid Conditions–SOI-4
  • CMS-HCC List
  • BMI Table

DRG TIPS

MS-DRG TABLE


Contents: Outpatient CDI Pocket Guide: focusing on HCCs

OUTPATIENT CDI
OUTPATIENT VS. INPATIENT PAYMENT METHODOLOGIES

  • Hospital outpatient payment
  • Physician payment

HCCS AND RISK ADJUSTMENT

  • Medicare vs. Medicare Advantage
  • Who uses HCCs, and How?
  • HCC Methodology
  • CMS-HCC Payment
  • Methodology for MA Plans
    • Hierarchies
    • Disease interactions
  • Diagnosis Sources
  • HCC impact on MA Plans
  • HCC impact on Providers
  • CMS-HCC vs. HHS-HCC

CMS PAY FOR PERFORMANCE PROGRAMS

  • Hospital Pay for Performance Programs
    • Hospital Value-Based Purchasing
    • Hospital Readmissions Reduction (HRRP)
    • Hospital-Acquired Condition Reduction (HACRP)
  • Physician Pay for Performance Programs
    • Accountable Care Organizations (ACO)
    • Merit-Based Incentive Payment System (MIPS)

EXPANDING YOUR CDI PROGRAM

  • HCCs in the inpatient setting
  • Payer denials and appeals
  • Physician office practice
  • Emergency department
  • Observation services

GUIDELINES
OUTPATIENT DIAGNOSTIC CODING GUIDELINES
COMPLICATIONS OF CARE
OUTPATIENT DOCUMENTATION REQUIREMENTS
PHYSICIAN QUERIES
EVALUATION & MANAGEMENT (E/M) GUIDELINES

  • New E/M Payment Rules for 2021

REGULATORY COMPLIANCE

KEY DIAGNOSES
AMPUTATION STATUS
ANGINA
AORTIC ATHEROSCLEROSIS, ANEURYSM, ECTASIA
ARTIFICIAL OPENINGS
CARDIAC DYSRHYTHMIA
CHRONIC KIDNEY DISEASE
COPD/BRONCHITIS/ASTHMA
DEEP VEIN THROMBOSIS
DEMENTIA
DEPRESSION AND BIPOLAR DISORDER
DIABETES MELLITUS
DIABETIC COMPLICATIONS

  • Arthropathy
  • Circulatory disease
  • Hyperglycemia
  • Hypoglycemia
  • Hyperlipidemia
  • Nephropathy
  • Neuropathy
  • Opthalmic
  • Oral complications
  • Osteomyelitis
  • Skin complications

HEART FAILURE
HEPATITIS
HIV/AIDS
MALNUTRITION
NEOPLASMS
OBESITY AND BMI
PARALYSIS (PLEGIA AND PARESIS)
PNEUMONIA
PULMONARY HYPERTENSION & HEART DISEASE
RESPIRATORY FAILURE
SKIN ULCERS
SUBSTANCE USE, ABUSE, DEPENDENCE
PROVIDER HCC FAVORITES LIST

HCCS
OVERVIEW
CMS-HCCS, V24.0
HCC COMMON DIAGNOSIS LIST
COMMON DIAGNOSIS LIST BY HCC

Dr. Richard Pinson, MD, FACP, CCS
Dr. Richard Pinson is a physician, educator, administrator, and healthcare consultant. He practiced Internal Medicine and Emergency Medicine in Tennessee for over 20 years having board certification in both. Dr. Pinson is a Fellow of the American College of Physicians and former Assistant Professor of Clinical Medicine at Vanderbilt, and has assisted hospitals as a physician consultant for the past ten years.

His personal understanding of the mindset of both doctors and managers allows him a unique vantage point from which to promote cooperation between physicians, hospital staff, and administrators toward achieving beneficial and practical changes.

 

Cynthia Tang, RHIA, CCS
Cynthia brings over 30 years of experience in health information management, coding and clinical documentation, and clinical resource management. For the past twenty years she has traveled to hospitals throughout the country to assess their processes for managing health information and clinical documentation and to provide her much-sought after expertise in redesigning operations to promote better patient care and hospital financial health.

Her focus is on workflow design and improving clinical documentation with a view to optimizing reimbursement, ensuring compliance, and improving quality and pay for performance measures.

 

“As a CDI professional, this is hands down the best reference out there! I have been using the CDI Pocket Guide for at least five years and each year the new edition and updates keep me up to date. Thank you!” — Lisa B.

“I am new to the CDI profession and this guide has helped me tremendously. I don’t know what I would do without it. It has been a great help to me in learning the ins and outs of coding and DRGs, and also what to focus on during my record reviews and querying physicians.” — Carol S.

“Thank you for another great edition of the CDI Pocket Guide! I so appreciate the excellent webinar on the updates – very helpful to learn what’s new for 2020. And thanks for adding the DRG Tips section back this year!” — Melissa S.

“I can’t do my work without it!” — Mindy L.

“As a coder, this guide teaches me all the clinical definitions and criteria that I need to help me recognize diagnoses that I should code or not. I feel it is a must guide for any coding professional.” — Nat G.

“As a long time user of the CDI Pocket Guide (I still have my 2009 edition!), it has been my trusted resource for conducting record reviews, meeting with physicians and more recently responding to denials. Keep up the good work Dr. Pinson and Cynthia!” — Karen M.

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