query

  1. M

    Wiki Can you pull a diagnosis from a test result?

    We have a bit of a disagreement at my work on interpretation of test results. An example would be: Patient is seen for CKD, congestive heart failure, hypertension and various other issues. The doctor never states the stage of CKD. However he does have an estimated GFR in the test results. Is...
  2. P

    Wiki After CDI queries...

    Question: I'm an inpatient coder at a large hospital. I am new, so not quite sure how to deal with this situation. After CDI has done their initial review on a chart, did some early queries and received answers back, BUT as the patient's hospital stay continued on, other doctors specified the...
  3. LAG.CPC@hotmail.com

    Wiki In compliance: Is asking the Provider for M.E.A.T in a Query consider leading ?

    Just curious about professional CDIs and/or Compliance Reps. opinion Is Querying and asking the Provider for M.E.A.T in a diagnosis they presented considered leading ? YES / NO WHY ?
  4. S

    Wiki Coding Query Escalation P&P

    Would anyone happen to have a sample policy & procedure they could share related to Coding Query Escalation and/or Clinical Documentation Improvement Escalation? Thanks! Scott
  5. J

    Wiki Help understanding clarifications/queries

    Hello, all! I am a coder, and my wife is a PCP. We work for different health systems in our area. Recently she started to receive what can be compared to a CDI clarification for patients who are scheduled for an outpatient visit (they have not yet been seen). These are coming from people...
  6. C

    Wiki Aspiration syndrome

    The patient is an adult and one of the diagnosis is the above. I did a query to the provider as to identify what the patient aspirated on, The provider's response was oral secretions. The patient also had pneumonia as one of the diagnosis listed. I am not sure how to code the aspiration...
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