Health Information Management

Q&A: Querying for CHF using prior documentation

CDI Strategies, January 8, 2009

Question: Part of our clinical support for determining the presence of congestive heart failure (CHF) includes referring to an echocardiogram performed during a previous admission. Using our electronic record, the physicians can access this same information to review it for mention of systolic or diastolic dysfunction in order to provide a link to exacerbation of CHF. Would using this prior documentation be considered "illegal" under the new American Health Information Management Association (AHIMA) final physician query practice brief?

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