The Physician Queries Handbook
Guide to Compliant and Effective Communication
Margi Brown, RHIA, CCS, CCS-P, CPC, CCDS;
James Kennedy, MD, CCS;
Marion Kruse, MBA, RN;
Lynne Spryszak, RN, CCDS, CPC-A
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Product Description:
The key to getting the medical record clarified and the information required to code properly is learning how to draft an effective, non-leading query to the physician.
The Physician Queries Handbook is the authoritative source for defining policies, procedures, and best practices for physician queries.
Coauthored by a physician, and CDI professionals with nursing, coding, and HIM backgrounds, the Physician Queries Handbook provides practical, tips and best practices for querying physicians on a concurrent or retrospective basis. It also presents strategies on how to develop a query policy and procedure that takes into account the many different facility-specific topics that directors and managers must understand.
Turn words into actions
Although Coding Clinic, AHIMA, and the ICD-9-CM Official Guidelines for Coding and Reporting provide guidance related to query policies and procedures, there are still a lot of gray areas for which hospitals must account, such as:
• Who should leave queries?
• What is a leading query?
• How long should staff expect to wait for a query response?
• How should hospitals deal with reluctant physicians?
Take a look at the topics covered in the Physician Queries Handbook:
Regulatory impact on physician queries• ICD-9-CM, Coding Clinic, MSDRGs, AHIMA, CMS, and OIG clarifications
CDI program basics and the query process
• Enlisting internal facility support
• Developing query roles
• Defining CDI program organizational structure
Query process infrastructure
• Prospective, concurrent, and retrospective queries
How to construct physician queries
• Query format
• Verbal vs. written queries
• Leading queries
• Query timeframe
• Best practices
Performance monitoring
• Coder/CDI productivity and quality
• Program effectiveness
Physician techniques
• Interviewing physicians
• Common scenarios
• Building relationships
• Disruptive physicians
• Joint Commission rules
• Medical staff procedures
Appendix
• ACDIS physician query benchmarking survey
• AHIMA physician query practice brief
• ICD-9-CM query rules
• Coding Clinic references
• Sample query forms
Physician Queries Handbook: Guide to Compliant and Effective Communication is part of the library of products and services from the Association of Clinical Documentation Improvement Specialists (ACDIS).
ACDIS members are CDI professionals who share the latest tested tips, tools, and strategies to implement successful CDI programs and achieve professional growth. Member benefits include a quarterly journal, members-only Web site, quarterly networking conference calls, discounts on conferences, and more.
Product Types : Departments :
SOURCE CODE: EXCROSS
ISBN: 978-1-60146-634-1
PUBLISHED: 08/13/2009
