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The document is a Physician Query Form related to a patient's diagnosis of pneumonia. It requests clarification from the physician regarding the specific organism responsible for the pneumonia based on sputum culture results. The form includes sections for the physician to confirm or deny identification of the organism, along with spaces for signatures and dates.

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How do you write a physician query?

Following are some tips to help you write effective, compliant queries: Queries are not the time to educate physicians about coding. Have clear titles. Make sure your question is clear. Offer response options. Avoid Yes/No questions. Quote the medical record word-for-word. Never introduce new information.

What are the two types of physician queries?

Physician queries are a communication tool used in healthcare to clarify documentation in the health record for coding and billing purposes. There are two main types of physician queries: Concurrent Queries. Retrospective Queries.

Who generates a physician query?

A physician query is a request made by a coder for additional information from the physician. This additional information is then used to determine the best way of coding the clinical services provided for insurance purposes.

What is an example of a leading physician query?

An example of a leading query would be, This patient is bedbound and needs assistance in all activities of daily living. Wouldnt you characterize him as having functional quadriplegia? The CDIS is putting words in the physicians mouth.

What is a leading physician query?

Industry News Query Tips. A leading query is one that is not supported by the clinical elements in the health record and/or directs a provider to a specific diagnosis or procedure Guidelines for Achieving a Compliant Query Practice.

physician query templates

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What is a compliant physician query?

A query must adhere to compliant, non-leading standards, permitting the provider to unbiasedly respond with a specific diagnosis or procedure. References to reimbursement must not occur. All relevant diagnoses, lab findings, diagnostic studies, procedures, etc.

What is the most desirable format for a physician query?

The question asked in a physician query may be the most important element of the document. Query questions need to be as simple and concise as possible. The physician should have no doubt what the coder is asking. That way the response will be as specific as possible and eliminate the need for an additional query.