Health Information Management

AHIMA addresses physician queries in guidance for CDI programs

HIM-HIPAA Insider, May 11, 2010

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On April 29, AHIMA issued a practice brief, “Guidance for Clinical Documentation Improvement (CDI) Programs,” which provides an overview of critical elements in establishing, maintaining, or enhancing a CDI program.

In addition to outlining the role of the CDI professional and the typical competencies of those who hold these positions, the practice brief discusses a variety of staffing models, including single discipline models as well as hybrid models.
 
AHIMA also addresses the following aspects of the physician query process:
  • Written and template queries
  • Query timeliness and interpretation
  • Leading versus nonleading queries
  • Verbal queries
  • Query retention
To view this practice brief in its entirety, click here. Then click on “All current practice briefs in chronological order by publication date” and scroll down to the brief.
 
Editor’s Note: This news was originally published in JustCoding. Visit www.justcoding.com for more information. In addition, for more information CDI programs, visit the Association of Clinical Documentation Improvement Specialists (ACDIS) website at www.hcpro.com/acdis.



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