The American Health Information Management Association (AHIMA) and the Association of Clinical Documentation Improvement Specialists (ACDIS) released joint physician query instructions in Guidelines for Achieving a Compliant Query Practice in February 2013.
Nevertheless, a lot of myths and misinformation about query practices still remain, says Cheryl Ericson, MS, RN, CCDS, CDIP, CDI education director for HCPro, a division of BLR, in Danvers, Massachusetts.
Coders and CDI specialists must query for the right reasons, says William E. Haik, MD, FCCP, CDIP, director of DRG Review, Inc., in Fort Walton Beach, Florida. "Above all, we should remain intellectually honest. Don't lead the doctor to document a condition that you know is not clinically significant."