CDI Strategies - Volume 5, Issue 13

Tip: Oregon QIO posts physician query policy

June 23, 2011
Physician Queries, Quality & Regulatory

While the bulk of discussion regarding how to ethically and responsibly submit queries to physicians revolves around releases from the American Health Information Management Association (AHIMA) releases, don’t discount advice from other potential sources. For example,...Read More »
CDI Blog - Volume 5, Issue 12

Q&A: Code or query for clinical significance

March 21, 2012
Ask ACDIS, Clinical & Coding, Physician Queries

Q: I am wondering about whether coders can use information the physician takes from test results and includes in the history and physical (H&P). We recently had a situation where the H&P indicated under the studies section that “chest x-ray showed atelectasis,” or “EKG showed...Read More »
CDI Leadership Insider - Volume 5, Issue 7

Council member Q&A: Compliant queries

July 10, 2023
Leadership Council, Physician Queries

This month’s question was submitted on June 30, 2023, and focuses on compliant queries. Please note that questions and answers have been de-identified for the purposes of this article.

Q: Our issue is that when constructing the query, the CDI specialist/coder is giving...Read More »
CDI Blog - Volume 5, Issue 6

Note from the CCDS Coordinator: ‘As God as my witness’ there’s a query opportunity here

February 13, 2012
ACDIS Guidance, Physician Queries

by Penny Richards

Can you begin to imagine how complex a piece of great literature would be in we had to include complete documentation of each medical incident? Or have to stop every time we have to develop physician queries?

Let’s take a look at the classic tale Gone...Read More »
CDI Leadership Insider - Volume 5, Issue 6

New questions from Council members on compliant query options, clinical validation queries, OB reviews

June 12, 2023
Leadership Council, Physician Queries

If you have experience with the topics below, please email Linnea Archibald at larchibald@acdis.org by noon eastern on Friday, June 16, and she'll connect you with the relevant folks at the end of the day on...Read More »
CDI Leadership Insider - Volume 5, Issue 4

New questions from Council members on contingency staffing, clinical validation queries, problem list updates

April 10, 2023
Leadership Council, CDI Management, Clinical & Coding, Physician Queries

If you have experience with the topics, please email Associate Editorial Director Linnea Archibald at larchibald@acdis.org by noon eastern on Friday, April 14, and she'll connect you with the relevant folks...Read More »
CDI Journal - Volume 5, Issue 2

Ask ACDIS: Know when to query for postop acute respiratory failure

April 1, 2011
Ask ACDIS, Clinical & Coding, Physician Queries, Quality & Regulatory

Q: Are there any coding guidelines/definitions regarding code 518.5 (Pulmonary insufficiency following trauma and surgery) vs. the use of 518.81 (Acute respiratory failure postop)? If a physician documents postop respiratory failure, which code should we report? I looked in Coding Clinic...Read More »
CDI Journal - Volume 5, Issue 2

Take a closer look when reviewing lung cancer charts

April 1, 2011
Clinical & Coding, Physician Queries

by Helen Walker, MD

CDI specialists should know what to look for when reviewing cancer admissions in order to capture the true severity of these patients’ illnesses. Often patients are discharged with the diagnosis of “possible” or “probable” cancer when the pathology report is...Read More »

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