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

2018 Outpatient CDI Pocket Guide Focusing on HCCs

CCS Richard D. Pinson, MD, FACP, CCS and Cynthia L. Tang, RHIA

2018 CDI Pocket Guide

Unknown, Author

2019 CDI Pocket Guide

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

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 compliant year round and prepare for your facility's annual survey in a timely, in-depth manner, without the hassle of sifting through CMS' massive online documents and wasting time waiting for files to download. Put the important information at your fingertips and gain convenient, direct access to all of CMS regulatory guidance with The Long-Term Care State Operations Manual, which will enable you to:
 - Stay compliant with complete access to all recent F-tag revisions - Save time searching and downloading extensive government documents - Manage risk by understanding the scope and severity for each possible deficiency - Download and use all essential CMS forms to ensure thorough survey preparation
This valuable resource provides word-for-word CMS regulatory guidance and forms covering virtually every aspect of a nursing home's annual survey, including:
 - F-tags and their accompanying surveyor guidance - Scope and severity for each possible deficiency - Essential CMS forms to download and use - Guidance for policymaking - Risk management advice
 In addition, you can refer to The Long-Term Care State Operations Manual for guidance regarding staff training, policy making, and risk management.

The Long-Term Care State Operations Manual (2014 Update)

None.

Contributors: Carol S. Cairns, CPMSM, CPCS; Mary J. Hoppa, MD, MBA; Amy Niehaus, CPMSM, CPCS, MBA Changes in the healthcare delivery landscape and scope-of-practice laws are driving demand for allied health professionals (AHP). However, creating criteria-based privilege forms for AHPs can be a lengthy process, requiring weeks of searching for applicable competency benchmarks. Core Privileges for AHPs contains completely updated, customizable forms drafted from best practices and reviewed by experts in the field. Create a comprehensive and efficient privileging process that saves valuable time while ensuring the delivery of high-quality care. This book will help you: - Save time with downloadable, customizable sample forms - Have the confidence your forms were created and reviewed by subject matter experts - Provide your medical staff leadership team with valuable information on best practices for AHP 'train-up' and competency assessment Table of Contents Sample Policy & Procedure for Expansion ('Train Up') of Privileges for Advanced Practice Professionals (APP) Section 1: Clinical Privileges for Advanced Practice Nurses 1. Certified Nurse-Midwife Clinical Privileges 2. Certified Registered Nurse Anesthetist Clinical Privileges 3. Clinical Nurse Specialist Psychiatric/Mental Health Clinical Privileges 4. Nurse Practitioner Acute Care Clinical Privileges 5. Nurse Practitioner Cardiovascular Medicine Clinical Privileges 6. Nurse Practitioner Cardiovascular Surgery Clinical Privileges 7. Nurse Practitioner Critical Care Clinical Privileges 8. Nurse Practitioner Dermatology Clinical Privileges 9. Nurse Practitioner Emergency Medicine Clinical Privileges 10. Nurse Practitioner Neonatology Clinical Privileges 11. Nurse Practitioner Nephrology Clinical Privileges 12. Nurse Practitioner Neurology Clinical Privileges 13. Nurse Practitioner Orthopedic Surgery Clinical Privileges 14. Nurse Practitioner Pediatrics Clinical Privileges 15. Nurse Practitioner Primary Care Clinical Privileges 16. Nurse Practitioner Psychiatric/Mental Health Clinical Privileges 17. Nurse Practitioner Surgical Clinical Privileges 18. Nurse Practitioner Women's Health Clinical Privileges Section 2: Clinical Privileges for Physician Assistants 19. Physician Assistant Acute Care Clinical Privileges 20. Physician Assistant Cardiovascular Medicine Clinical Privileges 21. Physician Assistant Cardiovascular Surgery Clinical Privileges 22. Physician Assistant Critical Care Clinical Privileges 23. Physician Assistant Dermatology Clinical Privileges 24. Physician Assistant Emergency Medicine Clinical Privileges 25. Physician Assistant Nephrology Clinical Privileges 26. Physician Assistant Neurosurgery Clinical Privileges 27. Physician Assistant Orthopedic Surgery Clinical Privileges 28. Physician Assistant Pediatrics Clinical Privileges 29. Physician Assistant Primary Care Clinical Privileges 30. Physician Assistant Radiology Clinical Privileges 31. Physician Assistant Surgical Clinical Privileges 32. Physician Assistant Urology Clinical Privileges 33. Physician Assistant Women's Health Clinical Privileges Section 3: Clinical Privileges for Non-physician Healthcare Professionals 34. Anesthesiologist Assistant Clinical Privileges 35. Clinical Psychologist Clinical Privileges 36. Pathologist's Assistant Clinical Privileges 37. Radiologist Assistant Clinical Privileges 38. Registered Nurse First Assistant Clinical Privileges

Core Privileges for AHPs (Develop and Implement Criteria-Based Privileging for Nonphysician Practitioners)

Pelletier, Sally J.

Survey Success for Long-Term Care: Reducing Citation Risk includes practical, efficient ways to train and educate staff, perform internal audits and monitoring checks, and stay on top of the constantly changing regulatory environment in long-term care.

Survey Success for Long-Term Care: Reducing Citation Risk

Diane Hislop

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