The physician query is a communication tool used by the coder in cases where there is...
The physician query is a communication tool used by the coder in cases where there is incomplete or conflicting documentation. Discuss how you would educate physicians on documentation to support the diagnosis and treatment.
Homework Answers
The physician can be educated on the documentation to support the diagnosis and treatment in th he following way
- The clinical documentation improvement training on ICD 10 and PCS has to be implemented
- The importance of coding should be enforced to the physician
- The queries should be related with the clinical practice
- The physician on internship, practitioner, mid level provider has to be provided knowledge as per the standard
- It has to be included in physician workflow daily
- In person communication with the physician can solve the issues easily
- Immediate and proper feedback to be given.
- Give an evidenced base reasoning and reporting
- Performance monitoring
- Educate through documentation training session.
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The physician query is a communication tool used by the coder in
cases where there is...
Case 5-8 Physician Query Policy You have suspected there are problems in the physician query process...
Case 5-8 Physician Query Policy You have suspected there are problems in the physician query process for a while now, and you have planned to review the policy and query form to look for any compliance issues. You would rather find the problems yourself before the Office of the Inspector General (OIG) finds them. Your task today is to evaluate the physician query process at your facility. Figures 5-1 and 5-2. Evaluate Figure 5-1 on all aspects including the following:...
Physician Query Policy You have suspected that there are problems in the physician query process for...
Physician Query Policy You have suspected that there are problems in the physician query process for a while now, and you have planned to review the policy and query form to look for any compliance issues. You would rather find the problems yourself before the Old finds them. Your task today is to evaluate the physician query process at your facility. Review Figures 5-1 and 5-2 1. Evaluate Figure 5.1 on all aspects including the following: • Good policy and...
Learning Plan 09 LPO9.1 Assignment: Physician Query 3d. Develop a physician query when documentation is insufficient...
Learning Plan 09 LPO9.1 Assignment: Physician Query 3d. Develop a physician query when documentation is insufficient to support diagnoses and procedures. Directions: The coder should query the physician when documentation in the patient's record is not sufficient to support the diagnosis in the medical record. The physician query form is a method of communication between the coder and the physician to address documentation that is not sufficient to suppořt the diagnosis. Case Scenario: Patient: Sally James DOB: 10-14-1960 MR #123-34-78...
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CLINICAL CLASSIFICATION SYSTEMS AND REIMBURSEMENT METHODS CASE 2-12 . Physician Query Polity You have suspected there are problems in the physician query process for a while now, and you have planned to review the policy and query form to look for any compliance issues. You would rather find theproblem s yourself before the Office of the Inspect r General (OIG) İ ds iheim Yor task toda, is to evaluate the physician query process at your facility 1. Review Figures 2-1...
When documentation deficiencies are identified, educate the physicians on improving their documentation. Emphasize the initial importance...
When documentation deficiencies are identified, educate the physicians on improving their documentation. Emphasize the initial importance of documentation by showing examples of how poor documentation can lead to adverse consequences. When clarification or additional information is obtained from the physician for coding purposes, make sure this information is subsequently documented in the medical record. Most coders are familiar with the coding principle of "query the physician" when documentation affecting code assignment is unclear or incomplete. Too often, the physician answers...
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QUESTION 4 On the day of Max's discharge from the hospital, the attending physician asked him questions and provided information such as Max's final diagnosis, prognosis, the results of various diagnostic tests, and necessary follow-up in the outpatient setting. The provider created two medical records for this same date of service. A progress note for the day of discharge records the physicians review of diagnostic tests, assessment of the patient's condition, and decision to discharge home. The discharge summary provides...
Student Name AFFECTIVE COMPETENCY: IX.A.1. UTILIZE TACTFUL COMMUNICATION SKILLS WITH MEDICAL PROVIDERS TO ENSURE ACCURATE CODE...
Student Name AFFECTIVE COMPETENCY: IX.A.1. UTILIZE TACTFUL COMMUNICATION SKILLS WITH MEDICAL PROVIDERS TO ENSURE ACCURATE CODE SELECTION Explanation: Student must achieve a minimum score of 3 in each category to achieve competency. Using tactful communication skills means using good manners as you provide truthful sensitive information to another person while considering the person's feelings. Thatful communication skills include verbal and nonverbal communica- tion that shows respect, discretion, compassion, honesty, diplomacy, and courtesy. When you use tactful behaviors you demonstrate professionalism...
pls help with clear handwriting I can't understand writing backward this is for dental hygiene We...
pls help with clear handwriting I can't understand writing
backward this is for dental hygiene
We were unable to transcribe this imageVital Signs including temperature, pulse, respiration, and blood pressure provide a baseline or help identify potential or undiagnosed medical conditions. Physical characteristics of height and weight provide information for drug dosing and anesthesia and indicate risk for medical complications. Disproportionate height and weight also combine as a risk factor for diabetes and other systemic diseases that impact oral health...
A patient on your team is experiencing difficulty breathing. There is no change in the patient's...
A patient on your team is experiencing difficulty breathing. There is no change in the patient's status after you elevate the head of bed, apply oxygen, have the patient use pursed lip breathing, and obtain a breathing treatment for the patient. Auscultation of the lungs demonstrates crackles bilaterally halfway up the lungs. The respiratory rate is 40 breaths/min, with an oxygen saturation level of 90% on 4 liters oxygen per nasal cannula. The patient is restless and having difficulty speaking...
Discuss how informatics is used in nursing education. What is your primary area where you would...
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Physician Query Policy You have suspected that there are problems in the physician query process for a while now, and you have planned to review the policy and query form to look for any compliance issues. You would rather find the problems yourself before the Old finds them. Your task today is to evaluate the physician query process at your facility. Review Figures 5-1 and 5-2 1. Evaluate Figure 5.1 on all aspects including the following: • Good policy and...
Learning Plan 09 LPO9.1 Assignment: Physician Query 3d. Develop a physician query when documentation is insufficient to support diagnoses and procedures. Directions: The coder should query the physician when documentation in the patient's record is not sufficient to support the diagnosis in the medical record. The physician query form is a method of communication between the coder and the physician to address documentation that is not sufficient to suppořt the diagnosis. Case Scenario: Patient: Sally James DOB: 10-14-1960 MR #123-34-78...
CLINICAL CLASSIFICATION SYSTEMS AND REIMBURSEMENT METHODS CASE 2-12 . Physician Query Polity You have suspected there are problems in the physician query process for a while now, and you have planned to review the policy and query form to look for any compliance issues. You would rather find theproblem s yourself before the Office of the Inspect r General (OIG) İ ds iheim Yor task toda, is to evaluate the physician query process at your facility 1. Review Figures 2-1...
Student Name AFFECTIVE COMPETENCY: IX.A.1. UTILIZE TACTFUL COMMUNICATION SKILLS WITH MEDICAL PROVIDERS TO ENSURE ACCURATE CODE SELECTION Explanation: Student must achieve a minimum score of 3 in each category to achieve competency. Using tactful communication skills means using good manners as you provide truthful sensitive information to another person while considering the person's feelings. Thatful communication skills include verbal and nonverbal communica- tion that shows respect, discretion, compassion, honesty, diplomacy, and courtesy. When you use tactful behaviors you demonstrate professionalism...
pls help with clear handwriting I can't understand writing
backward this is for dental hygiene
We were unable to transcribe this imageVital Signs including temperature, pulse, respiration, and blood pressure provide a baseline or help identify potential or undiagnosed medical conditions. Physical characteristics of height and weight provide information for drug dosing and anesthesia and indicate risk for medical complications. Disproportionate height and weight also combine as a risk factor for diabetes and other systemic diseases that impact oral health...
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