Health Information Management

AHIMA’s final query practice brief reflects growing CDI efforts

Medical Records Briefing, December 1, 2008

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Coders and others who perform queries have waited seven years for AHIMA to update its 2001 practice brief, “Developing a Physician Query Process,” and now, the wait is finally over.

On September 29, AHIMA published “Managing an Effective Query Process,” which continues to focus on compliant queries, but with a timely twist that reflects recent operational and regulatory changes, including clinical documentation improvement (CDI) programs, concurrent queries, and EHRs.

“When the brief was originally written in 2001, [querying] was strictly a retrospective process,” says Kathy DeVault, RHIA, CCS, manager of professional practice resources at AHIMA in Chicago. “And it was very focused on what happens when the chart gets to the coding department and coders are looking at it. That’s not what queries are anymore—it’s a very fluid process.”

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