Q:I have come across an ethical dilemma. We have a small CDI program and a “home grown” application we use to report metrics to the chief financial officer (CFO). In this, we track whether a CDI specialist’s query captured a CC/MCC. If it is the first and/or only CC/MCC...Read More »
Q:I am concerned about the way we are being taught to write queries; it feels counter to the way I learned at the CDI Boot Camp and the materials I have read via ACDIS. For example, the query lists the appropriate clinical indicators from the record which would support...Read More »
Q: Can you clarify the requirements surrounding the use of E codes? We have been working on documentation concerns related to patient safety indicator (PSI) 15 and wonder if E codes are really required to be reported or not. Can a facility simply decide to use on not to use them...Read More »
Should we query for the specific pulmonary exacerbation of cystic fibrosis (CF)? Coding Clinic states that the exacerbation of CF should be listed first.Read More »
Q: What are the ramifications of leading queries? Who is monitoring whether a query is leading?
A: I am unaware of any organization or agency routinely monitoring physician queries. However, regular query review for compliance with existing industry guidelines, reflection of appropriate...Read More »