A query is a communication between the provider (Physician) and Medical Coder to clarify documentation in the health record for documentation integrity and accurate code assignment for an individual encounter in any healthcare setting.
A query will include information like; Patient name, Admission date and/or date of service, Medical record number, Date query initiated, Date query answered, Name and contact information of the individual initiating the query
A query should have statement of the issue in the form of a question along with clinical indicators specified from the patient’s record.
Types of Query:
POA query, Ruled in /ruled out query, Clinical significance query, Cause and effect query, Conflicting documentation query, CHF acuity and specificity query, Debridement type and depth query.
Helpful. Can you please elaborate the query process like types of query, format, indicators etc...
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