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The document is a Sample Physician Query Form designed to request further clarification from a physician regarding a patient's medical condition and treatment. It includes sections for patient information, the reason for the query, and instructions for the physician to document their response.

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What should be included in a physician query?

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.

What is a query in medical coding?

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.

What is the purpose of a physician query process?

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.

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What is a physician query form?

A physician query is a method of communication used by coders to request clarification of patient diagnoses or procedures from the physician.

What is a non leading query quizlet?

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.

What does a compliant query practice include?

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.

What is a physician query?

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.

What is the purpose for sending a query to a physician through CDI?

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.

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