Forms

December 20, 2017
Clinical documentation, Hospital outpatient, Physician practice

The following case is excerpted from JustCoding’s Clinical Scenario Workbook: 2018 CPT Edition. The book contains 52 cases covering a wide variety of procedures and has been reviewed by HCPro’s coding regulatory specialists. 

October 25, 2017
Hospital inpatient, Hospital outpatient, Training

Test your knowledge of the new 2018 ICD-10-CM diagnosis codes with this 20-question, multiple choice quiz. There is an answer key included so you can check your work. Good luck! 

October 17, 2017
Clinical documentation, Hospital inpatient

Use this pneumonia severity index chart excerpted from JustCoding’s Inpatient Documentation Pocket Cards

October 11, 2017
Clinical documentation

These conference materials from ACDIS provide an overview of “bundled payments,” i.e., episode payment models, and incorporate strategies for CDI efforts for those organizations seeking to minimize the impact of poor documentation on performance. Examples based on the risk adjustment methodology for the comprehensive care for joint replacement (CJR) model will be discussed as well as how to locate resources to better understand future measures.

 

September 13, 2017
Clinical documentation, Hospital outpatient, Physician practice

The following CDI staff evaluation form provides a sample look at what is required of an outpatient clinical documentation specialist and gives parameters for measuring an outpatient clinical documentation specialist's performance. Valerie Parent, RN, BSN, CCDS, CCRN-K, donated the outpatient CDI staff evaluation form through ACDIS. Parent is the clinical documentation improvement manager at Eastern Maine Medical Center in Bangor, Maine. She can be reached at vparent@emhs.org

September 5, 2017
Hospital inpatient

The following is a skin ulcer staging table excerpted from JustCoding’s Inpatient Documentation Pocket Cards

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