2025 Clinical Validation and Documentation Integrity for Coding (softbound)
Optum | 2025 |
• Provides detailed clinical criteria and physician documentation requirements needed to justify code assignments.
• Helps craft physician queries that address fine distinctions in a patient’s medical condition and ensure appropriate reimbursement.
• Reimbursement Impacts: Tutorials on additional factors that rely on concise, accurate documentation and impact reimbursement such as complications and comorbidities (CC and MCC), hospital acquired conditions (HAC), and present on admission (POA).
• Extensive clinical tools: Includes resources for how to interpret abnormal EKGs, lab values and diagnostic test outcomes in addition to pharmacology and organism information.
• Identifies other terminology that would qualify as and translate into ICD-10-PCS specific root operations.
Karen Krawzik, RHIT, CCS, AHIMA-approved ICD-10-CM/PCS Trainer
CPT is a registered trademark of the American Medical Association.
Anita Schmidt, BS, RHIA, AHIMA-approved ICD-10-CM/PCS Trainer
Ms. Schmidt has expertise in ICD-10-CM/PCS, DRG, and CPT® with more than 15 years’ experience in coding in multiple settings, including inpatient, observation, and same-day surgery. Her experience includes analysis of medical record documentation, assignment of ICD-10-CM and PCS codes, and DRG validation. She has conducted training for ICD-10-CM/PCS and electronic health record. She has also collaborated with clinical documentation specialists to identify documentation needs and potential areas for physician education. Most recently she has been developing content for resource and educational products related to ICD-10-CM, ICD-10-PCS, DRG, and CPT®. Ms. Schmidt is an AHIMA-approved ICD-10-CM/PCS trainer and is an active member of the American Health Information Management Association (AHIMA) and the Minnesota Health Information Management Association (MHIMA).
CPT is a registered trademark of the American Medical Association.