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Additionally, the query should present only the facts that identify why the clarification is needed. Physician queries should not steer the provider towards a specific diagnosis or procedure. They should also never indicate the impact on reimbursement, payment methodology, or quality metrics.
A query is a communication tool or process used to clarify documentation in the health record for documentation integrity and accurate code assignment for an individual encounter in any healthcare setting. Synonymous terms for query include: clarification, clinical clarification, and documentation clarification.
A physician query is a method of communication used by coders to request clarification of patient diagnoses or procedures from the physician. The purpose of this policy is to improve physician documentation and coders understanding of unique clinical situations.
A physician query is a method of communication used by coders to request clarification of patient diagnoses or procedures from the physician.
A non-leading query. States the issue in the form of a question with clinical indicators or documentation from the health record, and asks the provider to respond based upon a clinical interpretation of the stated documentation.
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People also ask

While organizations are free to determine the specifics of their query process, compliant practice requires that all queries either be a permanent part of the record or be retrievable in the business record.
A physician query is a request made by a coder for additional information from the physician. Theyre typically used to determine the best way of coding some nuanced aspect of clinical care for insurance purposes, which can sometimes lead to friction between clinicians and the medical coders if mismanaged.
Query: A query is an established mechanism of communication between CDI Specialists/Coders and physicians to clarify ambiguous, incomplete or conflicting documentation in the medical record.
A physician query is defined as a written question to a physician to obtain additional, clarifying documentation to improve the specificity and completeness of the data used to assign diagnosis and procedure codes in the patients health record.
A proper query process ensures that appropriate documentation appears in the health record. Personnel performing the query function should focus on a compliant query process and content reflective of appropriate clinical indicators to support the query.

physician query form template