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DecisionHealth
Everything you need to know to improve CDI in the palm of your hand

Easy-to-understand approach, boiling HCCs down to a few basic principles that, when mastered, make them a breeze.

 

Authors Richard Pinson and Cynthia Tang explain how HCCs affect both providers and payers and clarify the chief considerations in outpatient reimbursement, documentation, and coding guidelines.



   

Each year, authors Dr. Richard Pinson and Cynthia Tang research, revise, clarify, and update the content of the CDI Pocket Guide. They capture significant changes in authoritative clinical diagnostic standards, the ICD-10 classification, DRG assignment, Official Coding Guidelines, and Coding Clinic and accommodate useful feedback from readers. They also provide the wisdom of their experience as consultants helping organizations sculpt their documentation and coding practices.

You will benefit from this guide if you are a CDI or coding specialist, risk adjustment auditor, nurse, or physician who seeks to:
 

  • Focus on areas of greatest impact as you expand your CDI program to the outpatient setting
     
  • Improve capture of HCC diagnoses that will optimize hospital and physician risk adjustments for value-based payments
     
  • Increase risk adjustment factor scores for Medicare Advantage health plans
     
  • Ensure your organization’s outpatient coding practices are compliant and meet clinical validation and documentation requirements



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