These sample queries were donated by Cheryl Ericson, MS, RN, CCDS, CDIP, CDI Education Director for HCPro in Danvers, Mass., and ACDIS Advisory Board member Mark LeBlanc, RN, MBA, CCDS, Clinical Documentation Manager, at Hennepin (Mo.) County Medical Center, who spoke during the June 10 webinar...
Use this query when the physician admits a patient with a history of alcoholism but provides no diagnosis. Provided by Cheryl Ericson, MS, RN, CCDS, CDIP,...
The attached Word document offers a sample query form regarding Multi-System Organ Failure donated by Katy Good, RN, BSN, CCDS, CCS, Clinical Documentation Program Coordinator, AHIMA Approved ICD-10CM/PCS Trainer, of Flagstaff Medical Center in Flagstaff, Ariz.
The attached Word document represents one example of a possible request for diagnostic clarification/confirmation of diagnosis donated by Paul Evans, RHIA, CCS, CCS-P, CCDS.
The sample ICD-10 queries included in the attached document address common coding and documentation themes associated with the ICD-10 code set. Adapted from ...
The attached document includes case examples and sample queries for conditions typically found in pediatric patient populations donated by Karen Bridgeman, MSN, RN, clinical documentation integrity specialist at the Medical University of South Carolina in Charleston, follower her ACDIS 2013...
The attached sample queries were donated Audrey G. Howard, RHIA, AHIMA-Approved ICD-10-CM/PCS Trainer, and Cheryl Manchenton, RN, BSN, 3M Consulting, adapted from the 2012 HCPro Inc., audio conference “Inpatient Postoperative Complications: Resolve Your Facility’s Documentation and Coding...
Cynthia Prayzner at Southcoast Health System in New Bedford, Mass., offers this sample altered mental status query form which asks physicians to identify the chronicity of the diagnosis providing additional specificity not on the query form but in the medical record's progress note.
This sample query regarding establishing cause and effect relationships between diagnoses was donated by Paul Evans, RHIA, CCS, CCS-P, CCDS, Manager, Regional Clinical Documentation & Coding Integrity, at SutterHealth in San Francisco, Calif.
