Queries

The American Health Information Management Association (AHIMA) and the Association of Clinical Documentation Improvement Specialists (ACDIS)...Read More »

Q: In my facility, we are supposed to send an e-mail to our physician advisor (PA) and to administration if a query is...Read More »

Editor’s Note: CDI Talk (2017 edit: now ACDIS Forum) is a networking forum for ACDIS members, in which members ask...Read More »

Coders and CDI specialists can use a three-step approach to query for SOI and ROM, Baine says. The first step is to review the...Read More »

Q: A question was raised by some of the members of my staff regarding the titles of queries. If a query is entitled “Sepsis Query” even if...Read More »

Q: Our cardiologists like to document “biventricular heart failure.” Is a query needed to clarify systolic and/or diastolic?...Read More »

Q: What should I do if I see a non-compliant query in the chart? Should I remove it, let my co-worker know, or just leave...Read More »

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

In the beginning, when placing queries for the type of heart failure or urosepsis...Read More »

Q: I was told that a multiple choice query should have at least four options. Keeping in mind that there may be only one reasonable option...Read More »

Q: When atelectasis is noted on an ancillary test such as a CT-scan of the abdomen or chest x-ray can nursing...Read More »