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
- 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!
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Contents: CDI Pocket Guide – Online Edition
Now in its 13th edition, the CDI Pocket Guide – Online Edition 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?
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
- 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
- Sepsis–Neonatal
- Sepsis–Pediatric
- Shock
- SIRS–Non-Infectious
- Skin 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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