Coding and Documentation Compliance for the ICD and DSM
A Comprehensive Guide for Clinicians
Coding and Documentation Compliance for the ICD and DSM provides professionals, professors, and students with a logical and practical way of understanding a difficult topic in healthcare for the clinician: coding. Established professionals will find the tools they need to comply with the ICD series, HIPAA, and integrated care models. Professors and students will appreciate having a systemized, standardized approach to teaching and learning the more complex aspects of ICD compliance. The interplay between the ICD and DSM manuals is also explicated in clear terms.
Table of Contents
Author Biography Preface Acknowledgments Introduction 1. Laying the Groundwork 2. The Coding and Documentation Standards 3. Coding in the ICD Series: The Indices 4. Assigning Diagnoses in Behavioral Health Settings 5. Understanding SNOMED CT 6. Coding and Documentation Compliance in Behavioral Health Appendixes
Lisette Wright, MA, is a licensed psychologist, EHR systems administrator, and recipient of certificates in health information systems and corporate compliance. Her curriculum has been taught to more than 13,000 clinicians nationally since 2013.
S. M. Tobias, MFA, MSW, has a background in writing and mental health and has been in the healthcare field for over twenty years. She currently owns and operates a group private practice in Minnesota.
Angela Hickman, CPC, CPMA, CPCO, CEDC, is an AHIMA-approved ICD-10-CM/PCS trainer and a senior management consultant. She has more than twenty years of experience in healthcare, from training medical providers to revenue cycle optimization and coding compliance.
"Wright, Tobias, and Hickman unlock the mysteries of the ICD-10 in this much-needed resource for understanding the complexities of documentation and coding standards in behavioral healthcare in the United States. Students and professionals alike will benefit from the comprehensive overview of the ICD-10, its clinical application, and its relationship with the DSM-5."
Samantha Fusselman, LCSW, CPHQ quality management manager, Yolo County Health and Human Services Agency
"Generated from a professional in the field, this is the first time such a clear and comprehensive summary of information about ICD-10 and DSM has been created. It is an incredible resource for students, clinicians, and administrators."
Virna Little, PsyD, LCSW-r, MBA, CCM, SAP, senior vice president, psychosocial services/community affairs, The Institute for Family Health
"I strongly recommend institutions involved in training behavioral health providers incorporate this highly informative text in their curriculum. It takes a very difficult topic, often foreign to clinicians, and breaks it down in an understandable and meaningful way for all levels of clinicians. Understanding ICD-10 and its connection to quality care will be necessary for providers moving forward in a value-based payment world. New and seasoned providers will be benefit by reading this book."
Michael R. Lardieri, LCSW, assistant vice president of strategic program development, behavioral health service line, North Shore–LIJ Health System
"Coding and Documentation Compliance for the ICD and DSM has hit the mark, living up to its intention to be a relevant resource for the inexperienced, seasoned professionals and administrators. It is a training that can be completed at your own pace for those new to ICD series; it is a practical reference guide that is certain to be used regularly by practitioners as they assign diagnoses, and it offers a blueprint for compliance to ensure that billing requirements are supported by practice. Clear, concise, and most importantly, a complete resource."
Nanette Conney, BPS