WHIMA | Common Missed Physician Query Opportunities and Key Indicators to Look for in the Chart

Overview

A query can be a powerful communication tool used to clarify documentation in a health record and achieve accurate code assignment. Querying the physician has become a common communication and educational tool for coding departments. An effective query process aids the hospital’s compliance with coding rules and serves as an educational tool for providers, and coding professionals, on the physician side. This session will include Common Missed Physician Query Opportunities and Key Indicators to look for in the chart and also when to query and when not to query.

Objectives:

• Review clinical indicators and coding guidelines for Sepsis. Provide case studies on how and when to query for sepsis.
• Review clinical indicators and coding guidelines for cardiac complications such as elevated troponin, type 2 MI, and type I MI. Provide case studies on how and when to query for elevated troponin and myocardial infarction.
• Review clinical indicators and coding guidelines for respiratory complications
• Review clinical indicators and coding guidelines for renal complications
• Review clinical indicators and coding guidelines for common neurology complications such as Altered Mental Status, Encephalopathy, Delirium, and Dementia. Provide case studies on how and when to query for altered mental status.

* This presentation is provided for general information purposes only and does not constitute legal or professional advice. The information was current at the time of the educational session and recording. Attendees registered for this educational session must take responsibility to remain abreast of current law and practice standards. 

Date

Published Date
July 2022

Speaker

Leigh Poland, RHIA, CCS

Pricing

• WHIMA Member  – $15.00
• Non-Member  – $30.00

CE

# of CEs: 1.0 – Data Structure, Content, and Information Governance

AHIMA

This educational offering has been approved for continuing education credit for use in fulfilling the continued education requirements of the American Health Information Management Association (AHIMA).

AAPC

CEUs are accepted from programs sponsored by AHIMA national offices and the state or regional AHIMA branches. One hour of instruction is worth one CEU.  A certificate of attendance or completion is necessary to show participation.

Instructions

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Access instructions for the course will be emailed to you within 2 business days following receipt of payment.

You will have 60 days to access the course after access has been granted.

How Do I Receive the CE?

You must click on the button labeled “Mark Complete” at the bottom of each course page before the CE will appear on the My Certificates page

FAQs

• Access instructions for the course will be emailed to you within 2 business days following receipt of payment.
  
  
• You will have 60 days to access the course. If your course has expired, and you need an extension, please contact us.
  
  
• You must click on the button labeled “Mark Complete” at the bottom of each course page before the CE will appear on the My Certificates page.

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