RE: =?UTF-8?Q?=5Bcdi=5Ftalk=5D=20Query=20Escalation=20Policy?=

Yes this helps.
Thanks.

Carla Cuney, MBA, RHIA
CDI Training ManagerGlaza Inc.
9000 Southwest Freeway, Suite 170
Houston, Texas 77074
Ph: (713) 429-1374; Fax: (713) 271-0039
Cell: (281) 989-3169
A little more persistence, a little more effort, and what seemed hopeless failure may turn to glorious success. ---Elbert Hubbard


-------- Original Message --------

Subject: Re:[cdi_talk] Query Escalation Policy

From: CDI Talk <cdi_talk@hcprotalk.com>

Date: Mon, December 17, 2012 7:13 am

To: ccuney@glazahealthcare.com



For concurent queries, we will text page the MD. If they still don't answer concurrently....this is what we follow for post-query:





Providers will review the query and if needed contact the Coder or CDS for

clarification.

a. A copy of the post query sheets will be placed in the physician’s Medical Staff Office mailbox the day the query is scanned. When possible an email will be sent to physician notifying them of the post query.

b. On day 7 if query remains unanswered an email will be sent to Medical Director at MWH or Stafford Hospital.

c. On day 12 if the query remains unanswered, calls will be made to physician by Medical Director at MWH or Stafford.

d. On day 14 if the query remains unanswered, the account will be coded as is.

e. All unanswered queries will be reviewed by Medical Directors, Physician Service Chiefs and CDI Steering Committee members for opportunities for improvement.



No sure if this is what you are asking for specifically. Hope it helps!



Happy Holidays



Christina Franklin, RN

Clinical Documentation Review Specialist

Health Information Management

MediCorp Healthcare System



1001 Sam Perry Boulevard

Fredericksburg, VA 22401



540-741-6276

Christina.Franklin@mwhc.com

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Comments

  • edited May 2016
    Thanks.

    Carla Cuney, MBA, RHIA
    CDI Training ManagerGlaza Inc.
    9000 Southwest Freeway, Suite 170
    Houston, Texas 77074
    Ph: (713) 429-1374; Fax: (713) 271-0039
    Cell: (281) 989-3169
    A little more persistence, a little more effort, and what seemed hopeless failure may turn to glorious success. ---Elbert Hubbard


    -------- Original Message --------

    Subject: Re: [cdi_talk] Query Escalation Policy

    From: CDI Talk <cdi_talk@hcprotalk.com>

    Date: Fri, December 14, 2012 1:45 pm

    To: ccuney@glazahealthcare.com



    My policy on query is in the F&T library, there is some material there.



    For post-discharge queries, at one week and then again at 12 days the CDS who reviewed the record (if not reviewed, then coders distribute by 'home' floor assignments for the CDS) will attempt to directly contact the physician to encourage / facilitate a response.



    Post-discharge queries just recently (2 months) became deficiencies (but not suspend-able). The unanswered query data are forwarded to our Physician executive who addresses outliers with individual physicians and service chiefs.



    There is not a direct escalation policy for concurrent queries -- with the exception of escalating resident or NP/PA queries up to the attending. Partly, the majority of unanswered concurrent queries are posed by the coding professional (unless further documentation makes the query unnecessary).



    Don



    >>> "CDI Talk" <cdi_talk@hcprotalk.com> 12/14/2012 8:25 AM >>>

    Good Morning,



    At the first of the year we are going to tackle creating a Query Escalation Policy to address our low query response rate. If any of you have this type of policy in place, can you share so I can have something to springboard from.



    Thanks,

    Carla Cuney

    CDI Manager



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    CDI Talk is offered for networking purposes. For official rules and regulations related to documentation and coding, please refer to your regulatory source.



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