Physician Queries

Editor’s note: Cesar M. Limjoco, MD, and Kelli A. Estes, RN, CCDS, will...Read More »

The use of electronic health records (EHR) should be guided by ethical principles that put patient care at the forefront, according to a...Read More »

Nursing notes cannot be used for coding and billing purposes. This does not mean, however, that they’re worthless for CDI purposes. Often times,...Read More »

Q: If a consulting physician documents a diagnosis related to his or her specialty but the attending does not (instead simply documenting...Read More »

Q: If a patient is extubated post-operatively but continues to be treated with supplemental oxygen, when is a query for...Read More »

The deadline for the latest ACDIS survey on physician query practices has been extended till...Read More »

Nearly 60% of patients say that online reviews matter to them when choosing a physician, according to...Read More »

A number of inpatient prospective payment system changes in recent years, due primarily to the Affordable Care Act, have allowed CMS to adjust...Read More »

by Erica E. Remer, MD, FACEP, CCDS

Some clinicians may interpret a query as an affront to their clinical judgment. This is not...Read More »

Q: When the physician documents that the patient is acute hypoxic and acute hypercapnic, should we code both of these diagnoses?...Read More »