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We have a physician advisor (PA) principally based in utilization review (UR) department, with additional duties at the bedside. Our CDI needs are...Read More »

Starting in January 2022, Associate Editorial Director Linnea Archibald began sending out “missed connections” emails with questions from Council...Read More »

Q: How do you handle a query clinical validation response that remains inaccurate? (i.e., query for sepsis ruled in). Do you capture this?Read More »

 In giving choices for responses, our query templates include “other (please specify)” and “unable to determine.” We get many responses of “unable...Read More »

Do we need to provide choices of "unable to determine" and "other, please specify" on our multiple-choice written queries? It was...Read More »

I am wondering about new rules related to community-acquired pneumonia clinical guidelines?Read More »

May a physician/provider, who does not take care of a patient during an episode of care answer a query for another physician who did take care of...Read More »

I’ve heard that when the volume of surgical cases is flat, any movement in the case mix index (CMI) represents an increased complexity of the...Read More »

Could you provide a clinical overview of gram-positive and gram-negative pneumonias?Read More »

I have a question about coding human immunodeficiency virus (HIV) and HIV-related illnesses. If a physician documents a patient is HIV positive,...Read More »