This sample flow chart illustrates the physician query process from initial query submission through to resolution. Lynne Spryszak, RN, CCDS, CPC-A, CDI education director at HCPro, Inc., in Danvers, MA, included this chart in her 2010 audio conference presentation...

Signs or symptoms of an underlying condition should be coded only if the physician can not determine a definitive diagnosis. When the physician simply neglects or forgets to document the diagnosis, CDI staff can use this sample query template provided by Alesha Andrews, RHIT, CCS, and Adam...

The attached documentation form regarding staging for chronic renal failure was provided by Susan A. Klein, BSN, RN, C-CDI, director of clinical documentation management at Saint Peter's University Hospital in Monroe Township, NJ. It is intended as a sample only and any diagnostic criteria...

The attached documentation clarification form regarding unspecified chest pain was provided by Susan A. Klein, BSN, RN, C-CDI, director of clinical documentation management at Saint Peter's University Hospital in Monroe Township, NJ. It is intended as a sample only and any diagnostic criteria...

The attached congestive heart failure documentation form was provided by Susan A. Klein, BSN, RN, C-CDI, director of clinical documentation management at Saint Peter's University Hospital in Monroe Township, NJ.  It is intended as a sample only and any diagnostic criteria should meet the...

The attached debridement documentation form was provided by Susan A. Klein, BSN, RN, C-CDI, director of clinical documentation management at Saint Peter's University Hospital in Monroe Township, NJ.  It is intended as a sample only and any diagnostic criteria should meet the approval of your...

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