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Briefings on Coding Compliance Strategies (Single Article)
Know why, when, and how to clarify physician documentation to achieve correct coding
December 2005
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By Robert S. Gold, MD
The goal of a physician query is to achieve a better reflection of the true disease process by assigning the best code for the clinical situation. But this goal is better reflected by the term "clarification."
Understanding the intent of physician clarification and doing it the right way should be the goal of every HIM professional. This article explains the advantages of clarifications and offers tips and strategies about how to use them.
