Artículo: AMZ-B0G6KF4BL1

The Common CDI Query Handbook

Format:

Paperback

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  • Understand the PurposeCDI queries aim to clarify documentation for accurate coding, reimbursement, and quality reporting—not to lead providers or alter clinical judgment.Follow Official Guidelines Always align with AHIMA and ACDIS query practice briefs: queries must be clear, concise, compliant, and non-leading.Use Clinical Indicators Support every query with objective clinical evidence (labs, imaging, progress notes, treatments) to justify the need for clarification.Be Specific and Respectful Phrase queries in a neutral tone and provide specific options, including an "other" or "clinically undetermined" choice when applicable.Know When to Query Common query opportunities include:Incomplete or vague diagnoses (e.g., "sepsis" vs. "suspected infection")Conflicting documentationMissing cause-and-effect relationshipsConditions impacting risk adjustment or quality metricsQuery Format Matters Use approved formats (paper, electronic, verbal) and document the query and response properly. Track responses for compliance and follow-up.
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