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Health-Related Professions/ Allied Health > Coding / Reimbursement
Guide to Clinical Validation, Documentation and Coding 2014
Optum
ISBN 13: 
9781601519924
ISBN 10: 
1601519923
Category: 
Coding / Reimbursement
Edition: 
1
Publisher: 
OPTUMInsight
Format: 
Paperback
Status: 
Out of Print
Audience: 
Professional
Dimensions: 
11.0 x 0.75 x 8.5 in
Pages: 
348
Weight: 
1.85
Retail Price: 
199.95
Quantity On Hand: 
0
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Synopsis:
The 2014 Guide to Clinical Validation, Documentation and Coding provides the clinical criteria necessary for code assignment. This resource describes the clinical documentation needed for determining if the condition is a complication, or when a medical condition should be coded as an additional diagnosis. Now coders, utilization review staff, and HIM managers can systematically evaluate the clinical criteria that influence code assignments and patient care. Covers 50 of the most challenging inpatient medical diagnoses and procedures. Provides detailed clinical criteria and physician documentation requirements. Code assignment justifications are thoroughly outlined. Helps craft physician queries. Learn how to address fine distinctions in a patient's medical condition and ensure appropriate reimbursement. Provides a detailed clinical description of problematic diagnoses or procedures--from a coder's perspective--plus the clinical criteria that support code assignment. Assists coders in determining what clinical elements are necessary for initial diagnosis code assignment, when it should be coded as a complication, and when the condition should be coded as an additional diagnosis. Ties in to ICD-10-PCS. Identifies other terminology that would qualify for the ICD-10-PCS specific root operation term.

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