Health Information Management

PPV: AHIMA’s draft query practice brief leaves many questions unanswered

HIM Connection, July 1, 2008

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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.
 
Although many had hoped that AHIMA’s recent draft physician query practice brief, “Queries as a tool for clinical documentation improvement,” released May 14, would provide this much-coveted advice, to many HIM professionals’ dismay, this was not the case.
 
Editor’s note: For more information on AHIMA’s draft query brief or to purchase a copy of this article for $10, click here. Subscribers to Briefings on Coding Compliance Strategies have access to this article in their July issue.
 
 



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