ICD-10 Documentation Strategies to Support Severity of Illness: Ensure an Accurate Professional Profile, Third Edition

Written by well-known physician educator Robert S. Gold, MD, this handbook explains the specific documentation details physicians need to express severity of illness and complexity of decision-making for 34 of the most troubling conditions in documentation today. It explains specific diagnosis-related issues, relieving physicians of much of the rework associated with utilization review, case management, and HIM/medical records concerns. The third edition has been updated to help physicians understand the documentation rules for ICD-10. Table of Contents: Introduction Acute Myocardial Infarction Adverse Effects of Medications Alcohol and Substance Use and Abuse Anemia Atrial Arrhythmias: Fibrillation, Flutter Chest Pain and Angina Chronic Obstructive Pulmonary Disease Comfort Measures Only Comorbidities or Comorbid Conditions Complications: Postoperative Cor Pulmonale: Acute Due to Massive Pulmonary Embolism Coronary Artery Disease Debridement Dementia, Delirium, and Encephalopathy Fractures Gastrointestinal Bleed Heart Failure Hyperglycemia Hypertension Inflammatory Bowel Disease Low Anterior Resection Malignancies Malnutrition Obesity Peripheral Vascular Disease Pneumonia Pulmonary Edema Renal Failure Respiratory Failure Seizures Sepsis Stroke or Cerebrovascular Accident Symptoms Syncope Trauma Summary What s New: This handbook explains the specific documentation details physicians will need to express severity of illness and complexity of decision-making under ICD-10.