The key to getting the medical record clarified and the information required to code properly is learning how to draft an effective, non-leading query to the physician.
The Physician Queries Handbook is the authoritative source for defining policies, procedures, and best practices for physician queries.
Coauthored by a physician, and CDI professionals with nursing, coding, and HIM backgrounds, the Physician Queries Handbook provides practical, tips and best practices for querying physicians on a concurrent or retrospective basis. It also presents strategies on how to develop a query policy and procedure that takes into account the many different facility-specific topics that directors and managers must understand.
Turn words into actions
Although Coding Clinic, AHIMA, and the ICD-9-CM Official Guidelines for Coding and Reporting provide guidance related to query policies and procedures, there are still a lot of gray areas for which hospitals must account, such as:
· Who should leave queries?
· What is a leading query?
· How long should staff expect to wait for a query response?
· How should hospitals deal with reluctant physicians?
Take a look at the topics covered in the Physician Queries Handbook:Regulatory impact on physician queries
CDI program basics and the query process
· Enlisting internal facility support
· Developing query roles
· Defining CDI program organizational structure
Query process infrastructure
· Prospective, concurrent, and retrospective queries
How to construct physician queries
· Query format
· Verbal vs. written queries
· Leading queries
· Query timeframe
· Best practices
· Coder/CDI productivity and quality
· Program effectiveness
· Interviewing physicians
· Common scenarios
· Building relationships
· Disruptive physicians
· Joint Commission rules
· Medical staff procedures
· ACDIS physician query benchmarking survey
· AHIMA physician query practice brief
· ICD-9-CM query rules
· Coding Clinic references
· Sample query forms
"synopsis" may belong to another edition of this title.
Book Description Hcpro, Inc., 2009. Paperback. Book Condition: New. book. Bookseller Inventory # M160146634X