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  • Physician Query Template

Get Physician Query Template

And email Brief statement of need for query Clinical indication for query Question Instructions to physician: Document your response in the space provided below then sign and date this form. OR Write or dictate an addendum to the patient s medical record Physician s Signature Date.

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How to fill out the Physician Query Template online

The Physician Query Template is a crucial document that facilitates communication between medical coders and physicians regarding patient diagnoses and treatment details. This guide will provide you with an easy-to-follow process for completing this form online, ensuring that your responses are clear and informative.

Follow the steps to complete the Physician Query Template online.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by entering the patient’s name in the designated field at the top of the form. Ensure this is the full legal name of the patient.
  3. Next, input the patient number, which is typically assigned by the healthcare facility. This helps in identifying the patient record accurately.
  4. Fill in the dates of stay for the patient, indicating the time period during which they were under care.
  5. Enter the medical record number. This number is essential for retrieving the patient's complete medical history.
  6. Document the query date, which is the date on which this inquiry is made. This is important for maintaining an accurate timeline.
  7. Address the query to the specific physician by writing their name in the provided space.
  8. In the brief statement of need for the query, provide a concise explanation outlining why further clarification is required for the coding.
  9. Next, detail the clinical indication for the query. This should explain the specific clinical factors prompting the need for physician input.
  10. Pose your question clearly in the next section, ensuring it is specific and direct to facilitate an accurate response.
  11. Instruct the physician to document their response in the space provided below or suggest they write or dictate an addendum to the medical record.
  12. Ensure the physician signs and dates the form at the bottom where indicated to confirm their response and agreement.
  13. Finally, review all entries for accuracy and completeness. Once satisfied, you can save the changes, download, print, or share the form as required.

Complete your Physician Query Template online today to enhance your medical documentation.

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Questions & Answers

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A physician query is a request made by a coder for additional information from the physician. They're typically used to determine the best way of coding some nuanced aspect of clinical care for insurance purposes, which can sometimes lead to friction between clinicians and the medical coders if mismanaged.

An example of a nonleading query might be: Can you further specify the etiology of the patient's pneumonia? But here's AHIMA's example of a leading query: Is the patient's pneumonia due to aspiration? Such queries can get a hospital in trouble.

One way a physician query would be considered leading is by the introduction of a new diagnosis in the query. This creates a difficult situation for a coder when the clinical information in the record supports a specific diagnosis, but the physician fails to give the diagnosis.

A physician query is a request made by a coder for additional information from the physician. This additional information is then used to determine the best way of coding the clinical services provided for insurance purposes.

What is a Physician Query? The American Health Information Management Association (AHIMA) defines a physician query as “a communication tool or process used to clarify documentation in the health record for documentation integrity and accurate code assignment for an individual encounter in any healthcare setting.”

“A physician query is defined as a written question to a physician to obtain additional, clarifying documentation to improve the specificity and completeness of the data used to assign diagnosis and procedure codes in the patient's health record.”

Following are some tips to help you write effective, compliant queries: Queries are not the time to educate physicians about coding. ... Have clear titles. ... Make sure your question is clear. ... Offer response options. ... Avoid Yes/No questions. ... Quote the medical record word-for-word. ... Never introduce new information.

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Fill Physician Query Template

Complete the form to see the list of more than 180 templates available across inpatient, outpatient, long-term care, and pediatric settings. This file provides standardized physician queries for clinical documentation improvement. It includes templates for various medical conditions. Agencies can use the following examples as a guide to writing queries that guide referral sources to provide additional information for accurate PDGM coding. Physician queries allow coders to ask physicians for information that is required before Coding can be completed.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232