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SEPSIS with POSITIVE BLOOD CULTURES PHYSICIAN QUERY FORM THIS FORM IS A PERMANENT PART OF THE MEDICAL RECORD Date: Please return this form by fax to: XXX-XXX-XXXX Dear Dr. : In responding to this.

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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.

The objective of a query is to ensure the reported diagnoses and procedures derived from the health record documentation accurately reflect the patient's episode of care.

Queries are not the time to educate physicians about coding. ... Use a consistent, compliant format. ... Have clear titles. ... Make sure your question is clear. ... Offer response options. ... Be professional. ... Be concise. ... Put the question last.

Patient name. Admission date (date of service) Medical record number. Account number. Date query initiated. Name and contact information of the initiator of the query. A statement of the issue (list clinical indicators from the chart or ambiguous/unsubstantiated information)

A query is 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. Synonymous terms for query include: clarification, clinical clarification, and documentation clarification.

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.

A leading query is one that is not supported by clinical elements in the health record and/or directs a provider to a specific diagnosis or procedure. Justification (i.e. inclusion of relevant indicators) for the query is more important than the query format.

A compliant query is often the primary medical record communication tool that explains the appearance of documentation later in the admission. ... More importantly, a compliant query seeks to clarify documentation gaps with the goal of a complete medical record that precisely depicts the patient encounter.

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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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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 workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
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