As part of HIM class, I learned the importance of Quantitative analysis and step to make sure all the required information is complete and in compliance with accreditation and regulatory standards. In healthcare field, it is a common phrase "If you didn't write it, it did not happen". Any missing or incomplete piece of information results into incomplete codes and affects the reimbursement process. As part of my Intermediate Coding class, I learned that physician query is one of the important piece to complete of coding process for accurate reimbursement.
As part of intermediate coding class, I followed the steps to raise the compliant queries and avoid directing a providers to document a diagnosis that is not clinically supported. I made sure to include the facility policies and guidelines to the required details. I also learned how to use appropriate wording in the query to obtain correlation between diagnoses or procedures without leading or introducing new information.
Initiating compliant query is very important for proper documentations which is not just crucial for coding purpose but it encompasses patient care, risk management, billing and healthcare compliance (fraud and abuse).
Artifact:
Coding abstract - physician query assignments.