When deciding to query, have you ever thought to yourself “Hmmm…I’ll give the provider one more day to document that?” This is a struggle many Clinical Documentation Specialists (CDSs) deal with on a daily basis. During this presentation I will discuss the multiple benefits of querying early in the stay, to ensure accurate documentation is cemented in the patient record early on. Case studies will also be provided to highlight the benefits of a CDI and Coding program committed to querying earlier in the stay.
1.0 CEU – Data Structure, Content and Information Governance
Rachel Mack, RN, MSN, CCDS, CDIP, CCS