Cynthia has over 30 years of experience in health information management, clinical coding and documentation, and clinical resource management. The focus is on developing workflow and improving clinical documentation to optimize cost recovery, ensure compliance, and improve work quality and pay metrics. The ACDIS Pocket Guide includes Clinical Diagnostic Standards Updates, Official Coding and Reporting Guides, ICD-10-CM, CMS-HCC Codes, and CDI Critical Thinking Tips to help CDI professionals do their jobs effectively and efficiently. ACDIS PRO provides expert guidance on clinical practice, CDI coding and documentation in an interactive and customizable online tool, allowing CDI professionals to find the information they need in seconds.
ACDIS Physician PRO is a comprehensive tool that provides easy access to ICD-10-related diagnostic criteria and documentation requirements to keep clinicians at the forefront of clinical record integrity (CDI). As the leading medical community of CDI professionals, ACDIS shares the latest advice, tools and strategies for implementing successful CDI programs. ACDIS also provides continuing education, certification, training, networking events, CDI resources, and career opportunities.
The pocket guide CDI “Unbound Edition” gives you complete online access on all your devices. Now in its 15th edition, the CDI Pocket Guide® is an essential and reference resource for anyone involved in coding and CDI. The CDI (r) Pocket Guide by Dr. Richard Pinson and Cynthia Tang, now in 15th edition, is the original and ALWAYS the best resource for coding and integrity of clinical documentation. The new online version of CDI is constantly updated with the latest clinical diagnostic standards, the latest updates from the Coding Clinic and key clarifications on all topics.
Pinson & Tang created the original CDI Pocket Guide to provide documentation professionals, coding professionals, and clinicians with the clinical information and guidance they need to help clinicians create comprehensive documentation. In the online version, the goal is to provide the same useful information while increasing the ease of use and portability of the guide. As an add-on, Help content is easily integrated into SelectCoder to provide programmers with greater clarity and understanding for documenting and coding Hierarchical Condition Category (HCC).
There are many tools and publications available to help providers improve their clinical documentation, such as AAPC validation software and validation and coding services. Accurate, complete, relevant, and specifically appropriate clinical documentation is essential for regulatory compliance, as well as for medical and hospital profiles, payment for services provided, and liability. The ultimate goal of vendor documentation is not just cost recovery, but ideally it should recognize coding requirements and capture the appropriate details to meet those requirements.
Each provider’s documentation should be tailored to reflect their clinical aspects and contributions, as well as comorbidities, quality data, etc. With detailed and accurate documentation, clinical analysis can help improve decision making and help identify complications before they begin. Institutions should encourage providers to provide documentation that reflects clinical features as well as comorbid conditions, quality metrics, etc.E. An outpatient / outpatient CDI program is necessary to ensure that appropriate documentation is provided for optimal reimbursement so that hospitals can recover the costs / resources used to provide their services, and that doctors / providers can get paid for their professional services.