Q: If the radiology or pathology report stated ovarian cancer but the physician never documented an ovarian mass, is it true you can’t use a present on admission (POA) query to capture the ovarian cancer because the physician made no reference to it? Would you need to use either an...Read More »
Q: What is the best way to handle a query that has been written inappropriately?
A: If I understand your question correctly, it seems like there might be a situation where it was discovered that some queries were questionably written. By...Read More »
by Jess Fluegel
The CDI profession is all about making investments. A CDI specialist invests in time to review cases in hopes of finding query opportunities. A CDI educator invests in preparing and teaching lessons that will help CDI specialists in this pursuit, and tools that...Read More »
by Jamie Johnson, RN, BSN, CCDS
Experienced CDI specialists know provider engagement can be challenging. Physicians often feel overburdened with administrative tasks and already have limited time for patient care. They can become resistant to participating in CDI initiatives,...Read More »
by Jess Fluegel
There is no single query format every organization uses. Though ACDIS and AHIMA have collaborated to provide theGuidelines for Achieving a...Read More »
by Benjamin Kartchner, MD, CHCQM, CMPC
Each of us has a unique story of how we became involved in CDI. For some it may have been an early choice or lifelong goal, but I suspect that many of you, like me, stumbled into this work by chance. In residency, I had several attendings who...Read More »