The following sample query was provided by Robert J. Stein M.D., FCCP, CCDS, and Jennifer Eaton, RN, MSN, CCDS, in conjunction with their webinar presented on March 21, 2016, titled "CDI’s Role in Respiratory Failure: Accurate Reimbursement and Quality Measure Reporting." To purchase the...
The following sample query was donated by ACDIS Advisory Board member Paul Evans, RHIA, CCS, CCS-P, CCDS, Manager, Regional Clinical Documentation at Sutter West Bay in San Francisco. Contact him at evanspx@sutterhealth.org.
Robert Hodges, BSN, MSN RN, CCDS, Clinical Documentation Improvement Specialist at the Aleda E. Lutz VA Medical Center in Saginaw, Mich., donated this sample malnutrition query. The Forms & Tools Library committee notes that the option of Kwashikor should be carefully considered before...
Paul Evans, RHIA, CCS, CCS-P, CCDS, Manager, Regional Clinical Documentation & Coding Integrity, at SutterHealth in San Francisco, Calif., offers this sample heart failure query form which includes educational definitions of heart failure, cardiomyopathy and other related concerns.
Cheryl Ericson, MS, RN, CCDS, CDI-P, CDI education director at ezDI, donated this sample query to demonstrate how CDI specialists can use their queries as a method of clinical validation--to ensure the diagnosis documented in the medical record includes the necessary clinical indicators to...
Use this example definition of postoperative respiratory failure as adapted by New York University Langone Medical Center's Mary McGrady, MSN, RN, CCDS and Murali K. Nagarajan, CCS, MB, BS following their webinar presentation...
These sample ICD-10 focused queries were donated by Cheryl Ericson, MS, RN, CCDS, CDIP, CDI Education Director for HCPro in Danvers, Mass., and ACDIS Advisory Board member Mark LeBlanc, RN, MBA, CCDS, Clinical Documentation Manager, at Hennepin (Mo.) County Medical Center, who spoke during the...
