The new edition of the best-selling CDI Pocket Guide by authors Dr. Richard Pinson and Cynthia Tang has been comprehensively updated for 2017.
This authoritative CDI reference guide focuses on the most common opportunities to improve clinical documentation, coding, and DRG assignment impacting reimbursement, severity of illness, quality reporting, and pay-for-performance. Its five sections Guidelines, Key References, Comorbid Conditions, DRG Tips, and the MS-DRG Table are designed for quick and easy reference.
A compact, portable resource, the CDI Pocket Guide is essential for new or experienced CDI specialists, coders, physician advisors, and any others involved in CDI. 
What's NEW in 2017?
<li>You'll find all sections of the guide updated with all the major changes in the ICD-10-CM Official Coding Guidelines, Coding Clinic guidance, and ICD-10 codes, plus tips and strategies for our second year of ICD-10.</li> <li>A new section devoted to pediatrics consolidates all key reference topics related to pediatrics and neonates with coding guidelines and comorbid conditions.</li> <li>New Key References include Sepsis-3, hypertension, pancytopenia, cardiac arrest, cerebral edema/compression, and many more.</li> <li>A new introduction to HCCs updates quality and CMS pay-for-performance program outcome metrics.</li> <li>
Comorbid Conditions for MS-DRGs and APR-DRGs have been updated and expanded.</li> <li>Citations of medical literature and other authoritative sources have been updated to support diagnostic definitions, criteria, and guidelines.</li> Testimonials
 My CDI Pocket Guide is an invaluable tool! I reference it daily in my reviews, writing queries and educating physicians regarding documentation opportunities. I would be lost without it! Norma B., Clinical Documentation Specialist, Bay Medical Center
 The CDI Pocket Guide is a practical, portable reference that the CDS can carry in his/her pocket and easily reference while reviewing the record on the patient care unit versus having to carry cumbersome ICD coding books to the units with 'stickies' and notes throughout the coding books. Cindy Z., HIM Director, Milford Hospital
 An essential tool for our documentation specialists and coders each section provides the clinical criteria needed to recognize documentation improvement opportunities in the medical record! Karen S., HIM Director, Nanticoke Hospital

2017 CDI Pocket Guide

Richard D. Pinson MD FACP CCS

Cynthia L. Tang RHIA CCS

HCPRO

HCPro

Provide quality resident care with 395 expert-reviewed, regulatory-compliant procedures. Ensure consistent documentation and care across all disciplines a critical component to survey success.
Every nursing home needs procedures to ensure quality care is provided and for legal protection. Don't put your facility in jeopardy with in-house procedures that may not be up to current clinical and regulatory standards.
This book offers:
 - A quick reference when treating residents The procedures will guide frontline staff through clinical issues they encounter every day. - Preparation for your next survey Surveyors will check your facility's procedures to verify you're providing quality care that meets the regulations. - Training for new long-term care nurses Many nurses have little formal long-term care training before they start working in nursing homes. These procedures will provide guidance and ensure that nursing staff provide consistent, compliant care. - A consistent format - Every procedure includes a list of supplies and the exact steps to take to perform it.

Nursing Procedure Guide for Long-Term Care

Barbara Acello MS RN

Medical Books

The Conditions of Participation (CoP) expect every agency to maintain an effective infection control program as part of its overall quality assessment and performance improvement efforts. An infection control program in homecare is also enforced by OSHA, CDC, and state and local laws. To maintain quality and compliance, it is crucial for every agency to implement such a program.
 Home Health Infection Control: A Manual for Compliance and Quality provides all of the information, forms, and tools that an agency needs to ensure it has a compliant infection control program. This updated manual is not just a narrative of what an agency needs to do; it provides customizable policies and procedures in order to create a compliant program that fits the agency's needs.
 In addition to infection control policies and procedures, this manual includes competency training for agency staff as well as training for patients, who have a direct role in preventing infection.
 This manual will provide:
 - Everything an agency needs to ensure it has a compliant infection control program - Competency training for staff - Patient/family education on infection: expected outcome of treatment, preventing the spread of infection to family members or caretakers, and avoiding overuse of antibiotics - Employee vaccination recommendations from the Infection Action Coalition - Vaccination recommendations specific to elders (tetanus, zoster, pneumonia) - Up-to-date CDC and OSHA guidance to ensure your program is current - Information on new infection control issues, including MRSA infections and wound vac procedures
 Table of Contents:
 Chapter 1: Purposes and Objectives Chapter 2: Policies and Procedures Chapter 3: Staff Education and Competency Chapter 4: Patient Education Chapter 5: Quality Improvement and Infection Control Chapter 6: Resources and References

Home Health Infection Control: A Manual for Compliance and Quality

Beacon Health

Elizabeth I. Gonzalez RN BSN

An affordable, time-saving solution to medical staff leadership training. Physicians who accept or are assigned leadership positions are often left on their own to develop leadership skills and educate themselves about their responsibilities as medical staff leaders. Just because a physician is a great clinician does not mean he or she is a great leader. The challenges of being a successful medical staff leader are twofold: You must be well-versed in your role and responsibilities (i.e., peer review, credentialing, medical staff bylaws), and you must inspire other medical staff members to follow the rules while continuing to deliver excellent patient care. A well-trained medical staff leader is vital to the culture of a hospital's medical staff and can save a hospital from the expense of lawsuits affiliated with negligent credentialing/peer review. This book aims to teach physicians how to become great medical staff leaders and how to motivate other medical staff members on topics such as: - AHP credentialing and supervision - Reappointment challenges - Physician-hospital competition - Liability risks - Medical staff disharmony and distrust Table of Contents Chapter 1: Where to Begin? Principles of Governance Chapter 2: Meetings: The Cost of Holding a Meeting Chapter 3: Meetings: How to Run an Effective Meeting Chapter 4: Overcoming Physician Apathy Chapter 5: Job Descriptions: Medical Staff Leaders Chapter 6: The VPMA/CMO: Where This Fits Chapter 7: Credentialing and Privileging: Requirements, Guidelines and Tips Chapter 8: New Technology Privileges Chapter 9: Privileging Disputes and How to Resolve Them Chapter 10: Advanced Practice Professionals Chapter 11: Low-Volume, No-Volume Practitioners Chapter 12: The Aging Physician Chapter 13: Proctoring (FPPE) Chapter 14: Peer Review (OPPE): Some Best Practices Chapter 15: Dealing with the Physician with Problems Chapter 16: Corrective Action: The Good, the Bad and the Ugly Chapter 17: Physicians and Hospital Administration: They re Just Different Chapter 18: EMTALA and Emergency Department Coverage Chapter 19: Conflicts of Interest Chapter 20: Economic Credentialing Chapter 21: Physician-Nursing Relationships Chapter 22: Health Care Finance: A Primer Chapter 23: Medical Errors Disclosure Chapter 24: Employed Practitioners Chapter 25: Contracted Practitioners Chapter 26: Confidentiality Chapter 27: Accreditation and Regulation Chapter 28: Bylaws and Related Documents Chapter 29: Medical Staff Governance: Myths and Misconceptions Chapter 30: Personal Characteristics of Great Leaders Who will benefit from this book? Directors of medical staff offices, vice presidents of medical affairs, medical staff presidents, credentials committee chairs and members, committee and department chairs

The Medical Staff Leader's Survival Guide

William K. Cors MD MMM FACPE

Hospital billing departments are known by various names, but their staff all experience the same problems understanding and complying with Medicare's many billing requirements.
Hospital Billing From A to Z is a comprehensive, user-friendly guide to hospital billing requirements, with particular emphasis on Medicare. This valuable resource will help hospital billers understand how compliance, external audits, and cost-cutting initiatives affect the billing process.
 Beginning with 2-Midnight Rule and Inpatient Admission Criteria and ending with Zone Program Integrity Contractors, this book addresses 88 topics in alphabetical order, including the following:
 - Correct Coding Initiative - CPT®, HCPCS, Condition Codes, Occurrence Codes, Occurrence Span Codes, Revenue Codes, and Value Codes - Critical Access Hospitals - Deductibles, Copayments, and Coinsurance - Denials, Appeals, and Reconsideration Requirements - Dialysis and DME Billing in Hospitals - Hospital-Issued Notice of Noncoverage - Laboratory Billing and Fee Schedule - Local and National Coverage Determinations - Medically Unlikely Edits and Outpatient Code Editor - Medicare Advantage Plans - Medicare Beneficiary Numbers and National Provider Identifier - Medicare Part A and Part B - No-Pay Claims - Observation Services - Outlier Payments - Present on Admission - Rejected and Returned Claims - UB-04 Form Definitions
 Who should read this book?
 - Finance and reimbursement staff - Chargemaster staff - Billers and coders - HIM staff - Clinical department staff - Revenue managers - Compliance officers and auditors - Registration staff - Fiscal intermediary staff - Healthcare attorneys, consultants, and CPAs - Legal department staff

Hospital Billing from A to Z

Charlotte L. Kohler RN CPA CVA CRCE-I CPC ACS CHBC

Administration & Medicine Economics

Stay on top of CMS' October updates to the RAI User's Manual!  The best-selling MDS 3.0 RAI User's Manual includes CMS' most recent updates, effective October 1. Don't pay more than necessary for the most up-to-date version of the MDS 3.0 RAI User's Manual!  This book will help you:   Remain compliant and informed with the latest updates, issued in October  Complete the MDS using the government s word-for-word instructions  Save money with this budget-friendly alternative to other manuals on the market  Complete assessments, ensure proper reimbursement, and provide quality care for your residents  The revised edition includes changes to following sections of the manual:   Privacy Act Statement Health Care Records  Change of Therapy language  Leave of Absence  Activities of Daily Living Coding  Activities of Daily Living Scenarios  Toileting Trial  Section K: Swallowing/Nutritional Status  Item K0510D  Item K0700  Item K0710  Section M: Skin Conditions  Section O: Special Treatments, Procedures, and Programs  Item O04003 A, B, C  Item O0400  Item O0420  Section Q: Participation in Assessment and Goal Setting  Items Q0100  Items Q0500  Items Q0550  Section Z: Assessment Administration  Chapter 6 RUG language

Mds 3.0 Rai User's Manual October 2014

HCPro, Inc.

An electronic health record (EHR) can streamline the exchange of resident health information during transitions of care between acute care and skilled nursing facilities (SNF). Despite long-term care providers not qualifying for funds such as those offered by the meaningful use program, an EHR has many benefits, including improved workflow processes, data analysis, and documentation accuracy all of which contribute to increased quality ratings. As such, many facilities have EHR adoption at the top of their priority list. Making the Transition From Paper to EHR in Long-Term Care: A Road Map for Conversion and Quality Outcomes takes the mystery out of the transition from paper to EHR, ensuring a smooth conversion process. Long-term care providers can use this guide to increase integration between multiple software formats, understand best practices for selecting an EHR vendor, train multiple levels of staff on all the EHR's benefits, and leverage EHR data to improve QAPI processes and quality of care. This book will cover how to: 
<li>Create a road map for conversion</li> <li>Increase SNFs' quality ratings by giving them information in real time</li> <li>Improve workflow processes, allowing staff to spend more time with residents and less time on paperwork</li> <li>Improve data analysis and audits, as well as billing and coding, by streamlining information and processes</li> Why should you switch to electronic health records? 
<li>Improve your facility's quality rating by giving nurses information in real time</li> <li>Develop better communication methods during transitions from acute to postacute care settings and decrease readmission rates</li> <li>Allow nurses to spend more time with residents and less time on paperwork</li> <li>Create better data analysis and audits for billing and coding</li>

Making the Transition From Paper to EHR in Long-Term Care: A Road Map for Conversion and Quality Outcomes

Gene Soboleski RN

The best-selling MDS 3.0 RAI User's Manual includes CMS' most recent updates, effective October 1. Some of these updates include a clarification to change of therapy related to discharge dates and a pre-certification rules clarification related to completion and submission of OBRA assessments. This current version also includes an October 2015 footer on each page and the Table of Contents no longer lists different version numbers for each chapter/section. In addition, CMS made a number of formatting corrections to ensure that RAI User's Manual v1.13 meets the accessibility requirements of Section 508 of the Rehabilitation Act, especially in Appendix C and Chapter 3 pages with "definition boxes." Purchasing a copy of this updated MDS 3.0 RAI User's Manual will help you: - Remain compliant and informed with the latest updates, effective October 2015 - Complete the MDS using the government's word-for-word instructions - Save money with this budget-friendly alternative to other manuals on the market - Complete assessments, ensure proper reimbursement, and provide quality care for your residents

Mds 3.0 Rai User's Manual: October 2015 Update

Theft of controlled substances at hospitals has always been a problem of paramount importance, but even with increased security measures, it still occurs. Drug Diversion Prevention in Healthcare discusses the issue of drug diversion in detail and demonstrates the components of a solid prevention plan. Loaded with tools and checklists, this book is designed to help hospital security officials create awareness of the drug diversion problem. You will learn how to design a program to keep staff accountable for drug administrations, as well as audits that monitor drug distribution from delivery to patient administration.
This resource will help you: 
<li>Establish an effective drug diversion prevention plan among hospital staff</li> <li>Understand the fundamental issues of drug diversion</li> <li>Create awareness among staff using tools and checklists</li> <li>Learn to recognize suspected diverters and mitigate problem areas in your hospital</li> <li>Effectively confront and deal with diverters in your facility </li>

Drug Diversion Prevention in Healthcare

Kimberly New

MDS 2.0 RAI User's Manual (2003 Revision)

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