Do Your Physician Queries Hold Up to Payer Scrutiny?
Do Your Physician Queries Hold Up to Payer Scrutiny?
16 PagesWHITEPAPER Do Your Physician Queries Hold Up to Payer Scrutiny? Vida M. Petersen, RHIT, CCS, CMRSI was talking to a colleague the other day about when and how to query and the importance of avoiding the pitfalls of a leading query. While we’ve all received education regarding queries, there still seems to be a gap in understanding. My colleague expressed frustration for being asked to write queries when there is either not sufficient clinical support, querying for a CC/MCC symptom that is not appropriate to report separately, or writing a leading query that the facility does not recognize as a leading query. Not only is my colleague an auditor, she is also a nurse who has worked in Clinical Documentation Improvement (CDI) Programs, so she understands both sides of the situation.
