Forms

July 16, 2014
Training

Shelley C. Safian, PhD, MAOM/HSM, CCS-P, CPC-H, CHA, of Safian Communications Services in Orlando, Florida, created this 15-question quiz on respiratory codes and conventions in ICD-10-CM.
June 6, 2012
Training, Anatomy and terminology

Reinforce what your coders are learning as they prepare for ICD-10 with some fun games related to anatomy and physiology and ICD-10 coding subjects. Check out this week’s platinum offering, which includes crosswords, word searches, and matching games to help coders stay engaged.

April 23, 2014
Clinical documentation

The attached PDF reviews documentation and coding needs for complications and establishes policies and procedures for coders and CDI professionals to follow. Created by Paul Evans, RHIA, CCS, CCS-P, CCDS, the document provides complication definitions, explains when queries should be issued, and explores specific documentation concerns regarding conditions such as incidental serosal tear and postoperative atrial fibrillation.
December 4, 2013
Training

This form contains a proposal for mandatory physician education regarding facility CDI practices. Created by Rebecca "Ali" Williams, RN, BSN, CCDS, this document can be adapted and brought forward to your facility's medical staff director or your program director to foster the ongoing training of incoming physicians.

May 22, 2013
Training

Hospitals and physicians are transitioning from ­paper and hybrid medical records to EHRs. Because physicians are also requesting electronic versions of other information, such as newsletters, consider keeping them informed about documentation and coding through the use of e-blasts: mass emails sent to physicians. An e-blast should have a subject line that ­captures physicians' attention. Beginning with a greeting such as "Dear Dr. _____" is a matter of personal preference. Use these examples of brief e-blast messages pertaining to CDI from HCPro’s CDI Toolkit to create your own messages.

March 7, 2012
Clinical documentation

Paula Lewis-Patterson, BSN, MSN, NEA-BC, the clinical administrative director of the ambulatory treatment center at The University of Texas MD Anderson Cancer Center in Houston, provided these and other examples of good and poor documentation for infusions as part of HCPro's audio conference, 2012 Injections and Infusions: CPT Changes, Nursing Documentation Requirements, and Billing Process Review.
 

December 11, 2013
Clinical documentation

This form highlights the required documentation necessary for common interventional radiology procedures, including catheterizations, imaging guidance, and therapeutic interventions. Stacie L. Buck, RHIA, CCS-P, RCC, CIC, of RadRX.com created this form.

Pages