Same great content now available online! The CDI Pocket Guide – Online by authors Dr. Richard Pinson and Cynthia Tang is the same great proven resource used by coders, providers, and CDI professionals for over 13 years. Key reference and clear instruction ‘at your fingertips.’ Always up to date! Purchase today and receive unlimited access for one full year including notification of any updates or changes as they occur.
***Special Pricing! Purchase both the CDI Pocket Guide – Online and the spiral-bound CDI Pocket Guide for $179 — a savings of 32% off the price of both items sold separately!***
The CDI Pocket Guide – Online 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.
The same great content you have relied on for 13 years, now easily accessible from any device with an internet connection. One-year subscription provides real-time information on the coding system and guidelines including notification of changes impacting CDI as they occur and the critical updates effective October 1, 2020.
The CDI Pocket Guide – Online is 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
New! Includes over 40 sample compliant queries on the topics most in demand.
Additional information of use to CDI professionals and coders with CDI responsibilities
Bonus! With every purchase of the CDI Pocket Guide – Online you will have access to free live interactive webinars where Pinson & Tang experts present the most challenging diagnostic conditions and the latest industry changes.
Special pricing available for groups. Train your entire team!
Now in its 14th 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
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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Join Cynthia Tang, co-author with Dr. Richard Pinson of the CDI Pocket Guide, for a brief tour of the features of CDI Pocket Guide – Online, the essential, go-to resource for anyone involved in documentation, coding and CDI.
In-depth commentary on selected coding advice and clarifications from recent issues of AHA Coding Clinic for ICD-10-CM and ICD-10-PCS, the official publication for ICD-10-CM and ICD-10-PCS coding guidelines and advice. Commentary is by Barry Libman, MS, RHIA, CCS, a nationally-recognized authority on coding and reimbursement issues.
Purchase a full year and receive the current issue plus the next three issues. In addition, receive access to the full Coding Clinic Commentary archives to see what you may have missed.
What has changed, what it means, and how to apply advice with confidence
Coding Clinic advice will be explored and explained in the context of the conventions and guidelines that govern how ICD-10-CM and ICD-10-PCS codes are applied
Online commentary provides unlimited access to materials for entire enrollment period
Learn from an experienced presenter on Coding Clinic issues, known for in depth knowledge and an ability to put coding questions into an understandable context
Requires access to AHA Coding Clinic for ICD-10-CM and ICD-10-PCS. Subscribe here.
Libman Education’s Coding Clinic commentaries are included at no charge in the eLearning Library subscriptions.
The HCC Quick Reference Guide is a useful tool to communicate quickly and clearly to your providers the essential documentation necessary to support HCC diagnoses. Delivered as a downloadable and printable .pdf, the HCC Quick Reference Guide features straight-forward instruction for providers in 15 specialties.
The HCC Quick Reference Guide includes the diagnostic statements that must be documented to support correct coding of the HCC. There are no ICD-10-CM codes in the course; just guidance on what to document.
Designed to be shared with your providers, the HCC Quick Reference Guide is a unique product, organized by specialty to make the guidance more user-friendly and the information more accessible. The HCC Quick Reference Guide is ideal for Clinical Documentation Integrity specialists, any coder who provides HCC documentation guidance to providers, or any provider who wants succinct guidance on mastering HCCs.
The HCC Quick Reference Guide provides a concise set of information for each specialty:
Cardiovascular
Dermatology
Endocrinology
Gastroenterology
Hematology
Internal Medicine – Family Practice
Mental Health and Substance Abuse
Nephrology and Urology
Neurology
Oncology
Ophthalmology
Orthopedics
Pulmonology
Rheumatology
Trauma
Each guide provides the key information needed for accurate HCC documentation of diagnoses in that specialty:
HCC hierarchy
Disease Interaction (Institutional)
Disabled/Disease Interaction
Alphabetical listing of diagnostic statements
Plus! Designed to be shared with your providers, the HCC Quick Reference Guide provides additional instruction in straightforward language on how HCCs work and how it affects the provider’s documentation including:
Developed by ACDIS, the premier provider of education for Clinical Documentation Improvement Professionals, CDI Essential Skills is a certificate program comprised of foundational CDI education paired with a review of core compliance and ethical principles. Candidates who pass the final exam receive a certificate of completion and may designate themselves as an ACDIS-Approved CDI Apprentice.
CDI Essential Skills includes:
Introduction to CDI: Core Concepts and Professional Skills
Understanding the DRG and IPPS Systems
Coding Essentials for the CDI Specialist
Conducting the Health Record Review
Introduction to Queries and the Query Process
Documentation Requirements for Sepsis
Documentation Requirements for CHF
Documentation Requirements for Respiratory Failure
Documentation Requirements for Malnutrition
ACDIS CDI Apprenticeship
CDI Essential Skills is a first step to a career in Clinical Documentation Improvement. This online training has been designed as a pathway to future Certified Clinical Documentation Specialist (CCDS) designation. Candidates interested in obtaining the CCDS credential must fulfill prerequisites, including at least two years of experience in clinical documentation improvement.
Libman Education is an authorized reseller of CDI Essential Skills.
Keep vital information at your fingertips with the new 2021 edition of the #1 best-selling authoritative CDI Pocket Guide.
The CDI Pocket Guide by authors Dr. Richard Pinson and Cynthia Tang, now in its 14th edition, is the original and STILL the best resource for coding and clinical documentation integrity.
Each year, the authors research, revise, and clarify the content to update the original CDI Pocket Guide. They capture significant changes in clinical diagnostic standards, ICD-10 codes, Official Coding Guidelines, Coding Clinic, and compliance issues and accommodate useful feedback from readers. They also provide the wisdom of their experience as consultants helping hospitals sculpt their documentation and coding practices to their needs.
Each CDI Pocket Guide customer will also receive our in-depth, interactive webinars that will keep you informed and further enhance your knowledge and skills.
For over a decade, the CDI Pocket Guide has been the essential, go-to resource for anyone involved in coding and CDI – don’t be without it!
For 2021, you will find new key reference topics for COVID-19, liver failure, and others, and updated clinical diagnostic standards and key refinements to topics such as malnutrition, heart failure, chronic kidney disease, and diabetic complications. All FY2021 CMS MCC-CC/DRG updates and latest Coding Clinic advice is incorporated.
CDI Pocket Guides are sent via USPS Priority mail. Allow 2-3 days for delivery. Price includes shipping.
Buy the CDI Pocket Guide together with the Outpatient CDI Pocket Guide: Focusing on HCCs and SAVE! Purchase here.
The CDI Pocket Guide – Online is the essential, go-to resource for anyone involved in coding and CDI.
Dr. Richard Pinson, MD, FACP, CCS
Cynthia Tang, RHIA, CCS
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