an all-inclusive reference to help readers implement a comprehensive clinical documentation improvement (CDI) program with in-depth information on all the essential responsibilities of the CDI specialist. This edition helps CDI professionals incorporate the latest industry guidance and professional best practices to enhance their programs. Co-authors Heather Taillon, RHIA, and Marion Kruse, MBA, RN, combine their CDI and coding expertise to explain the intricacies of CDI program development and outline the structure of a comprehensive, multi-disciplinary program. In this edition you will learn how to: - Adhere to the latest government and regulatory initiatives as they relate to documentation integrity - Prepare for successful ICD-10 transition by analyzing your CDI program - Step up physician buy-in with the improved education techniques - Incorporate the latest physician query guidance from the American Health Information Management Association (AHIMA) Table of Contents Chapter 1: Building the CDI Program Chapter 2: CDI and the healthcare system Chapter 3: Application of coding guidelines Chapter 4: Compliant physician queries Chapter 5: Providing physician education Chapter 6: Monitoring the CDI program What's new in the Second Edition? - AHIMA's 'Managing an Effective Query Process' and 'Guidance for Clinical Documentation Improvement Programs.' - CMS guidance from new IPPS regulations, MLN Matters articles, Quality Improvement Organizations, and the Recovery Audit Contractor (RAC) program, among others - Strategies to help you incorporate the guidance into your CDI program. - Tools to help you interpret MAC initiatives and RAC focus areas to enhance your CDI program and help prevent audit takebacks - New sample queries, forms, tools, and industry survey data BONUS TOOLS! This book also includes bonus online tools you can put to use immediately! - Sample query forms - Sample job descriptions for CDI managers, and CDI specialists - Sample evaluation form for CDI staff - Sample pocket guide of common documentation standards

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