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Clinical Documentation Improvement for Outpatient Care: Design and Implementation

AHIMA Clinical Documentation Improvement for Outpatient Care


Publisher: AHIMA
Softbound,
ISBN#: 978-1-58426-584-9
Item#: OP548017
Authors: Pamela Carroll Hess, MA, RHIA, CSS, CDIP, CPC

Clinical Documentation Improvement for Outpatient Care: Design and Implementation

List Price: 89.95
AMA Member: 84.95

Available

Outpatient clinical documentation improvement (CDI) is the next step in the evolution of a comprehensive, overarching CDI program.

Clinical Documentation Improvement for Outpatient Care: Design and Implementation is an all-inclusive guide to establishing and enhancing CDI programs for the outpatient and professional fee setting. It explains how to ensure sustainability and is a one-stop-shop for information about regulatory changes that affect the healthcare industry. This book can be used as a tool kit and strategy guide to develop a best-in-class outpatient CDI program and includes an online workbook.

Part I Fundamentals of Outpatient Clinical Documentation

  • Chapter 1 Criteria for High-Quality Outpatient Clinical Documentation
  • Chapter 2 Types of Clinical Documentation
  • Chapter 3 The Translation of Clinical Documentation in Coded Data
  • Chapter 4 Government Agencies, Regulation, and Public Data
  • Chapter 5 Outpatient CDI Assessment
  • Chapter 6 Assessing Clinical Documentation
  • Chapter 7 Assessing Outpatient CDI Program Technology Options

Part II Implementing an Ambulatory Clinical Documentation Improvement Program

  • Chapter 8 Moving Forward with a CDI Program
  • Chapter 9 Creating the Interdisciplinary Ambulatory Health Care Team
  • Chapter 10 Project Management using a CDI Work Plan
  • Chapter 11 Program Staffing Options
  • Chapter 12 Training the Ambulatory CDS
  • Chapter 13 Provider Education in the Ambulatory Setting
  • Chapter 14 Education Programs for Non-Physician Clinicians
  • Chapter 15 Education Programs for Ambulatory Coders
  • Chapter 16 Physician Queries in the Ambulatory Setting
  • Chapter 17 Compliant Ambulatory CDI Programs

Part III Expanding and Refining the Clinical Documentation Program

  • Chapter 18 Expanding the Outpatient CDI Program
  • Chapter 19 Operations and Financial Best Practices
  • Chapter 20 Critical Thinking for CDI for the Multisite Continuum of Care

 

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