Physician Queries

Q: Can the physician be queried as to why the patient is taking methadone or suboxone? If yes...Read More »

By Laurie L. Prescott, RN, MSN, CCDS, CDIP, CRC

It’s easy to pick on physicians. As CDI specialists, we joke about the physician...Read More »

By Howard Rodenberg, MD, MPH, CCDS

Memo from the Full Disclosure Department: Lying behind my confident attitude, my devil-may-care...Read More »

Should conditions only present in the ED documentation be coded?Read More »

By Linnea Archibald

According to a poll...Read More »

by Crystal Stalter, CDIP, CCS-P, CPC

Is there a best practice when writing a query? ACDIS and AHIMA believe there is, to the point...Read More »

Many facilities employ CDI specialists as frontline educators for physician ICD-10 documenta­tion training. Post-implementation, they rely on CDI...Read More »

By Laurie L. Prescott, RN, MSN, CCDS, CDIP, CRC

Though many coders and auditors say so, there is no official direction that states...Read More »

Q: Providers at our facility believe coding and CDI send too many queries. What's an...Read More »

Composing and documenting verbal query interactions often confuses CDI specialists. While the guidance published by ACDIS and AHIMA holds for all...Read More »