Health Information Management

AHIMA's draft query practice brief leaves many questions unanswered

Briefings on Coding Compliance Strategies, July 1, 2008

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Editor’s note: The following article went to press prior to AHIMA’s publication of its final physician query practice brief. AHIMA plans to publish its final brief in the September and October Journal of AHIMA.

The American Health Information Management Association (AHIMA) requires coders to query when physician documentation is illegible, incomplete, unclear, inconsistent, imprecise, or unreliable. Yet one of the many omnipresent challenges that coders face is how to obtain more thorough documentation in such a way that doesn’t lead the physician toward an assumed condition.

This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to Briefings on Coding Compliance Strategies.

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