Q: What are common query opportunities coding professionals may encounter when reviewing unclear drug documentation?

A: Accurate coding of poisonings, adverse effects, and underdosing events depends entirely on clear provider documentation. Because code assignment is...Read More »

Q: Can we send a query on an unsigned provider note, or should we wait for the provider to be entirely done and have the note signed?

Our goal is to ensure all the valid diagnoses are documented and we try to have all queries answered before discharge...Read More »

Q: What is the importance of clinical validation and creating a clinical validation workflow?

Trey La Charité, MD, FACP, SFHM, CCS, CCDS: The problem with clinical validation is that it has become the largest weapon in any payer’s...Read More »