Query non-responder penalty

lsipos@monument.healthlsipos@monument.health
edited May 2016 in CDI Talk Archive
Hello! I was wondering if anyone would be able to share "what type" of penalties you have for query non-responders. Do you have actual policies? By laws? How is the penalty enforced or how have you incorporated that process?

I would appreciate any response on this because people at our institution are finally starting to take notice! Thanks so much in advance.

Juli Bovard RN CCDS
Certified Clinical Documentation Specialist
Clinical Effectiveness/Clinical Quality
Rapid City Regional Hospital
719-4390 (work)
786-2677 (cell)
"No Limit to Better......"
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Comments

  • carmella.gaycarmella.gay
    edited May 2016
    We identify them as deficiencies on the chart, that can results in suspension if no respond in a timely manner.

    Thank, Carmella
  • lsipos@monument.healthlsipos@monument.health
    edited May 2016
    CARMELLA

    Is this a policy or by law for your institution?
  • vanessa.falkoffvanessa.falkoff
    edited May 2016
    Per HIM Policy approved by Admin. we also identify them as deficiencies on the chart, with suspension if no response.



    Vanessa Falkoff RN
    Clinical Documentation Coordinator
    University Medical Center
    Las Vegas, NV
    vanessa.falkoff@umcsn.com
    office 702-383-7322
    cell 702-204-0054
  • carmella.gaycarmella.gay
    edited May 2016
    It is in our Medical Records Guidelines policy – allowing 15 days for response. But I understand it is also in our Bylaws for repeat offenders.

    Carmella
  • don.cdi.rn@gmail.comdon.cdi.rn@gmail.com
    edited May 2016
    Check this ACDIS on line poll:
    Are your queries part of the suspension process? (Nov 2011)
    http://www.hcpro.com/acdis/view_readerpoll_results.cfm?quiz_id=2360

    We currently started 1 Oct with post-discharge queries as part of the
    deficiency process (but don't trigger suspension). These do not include
    concurrent queries -- in part due to the fact that unanswered queries
    are re-presented after discharge. There is conversation currently
    around having post-discharge queries lead towards suspension.

    As I understand it, part of the Medical Staff by laws.

    Don
  • leah.taylorleah.taylor
    edited May 2016
    We do the same!

    Leah Taylor, RN, CCDS, CCA
    Data Integrity Specialist/RAC Coordinator
    Iredell Health System
    557 Brookdale Drive
    Statesville, NC 28687
    704-878-7436 office
    704-878-4624 fax
    leah.taylor@iredellmemorial.org
  • Unknown
    edited May 2016
    In regards to the physician who is an ongoing nonresponder, naturally the question remains why is the physician a perpetual nonresponder. Does the physician not recognize the inherent value of effective clinical documentation to his practice of medicine? How the CDI program was presented to the physicians at large in your institution comes into question. Does the physician see the CDI initiatives as strictly benefitting the hospital, does the physician see himself/herself as a target for physician queries instead of a benefactor of the queries and educational tips for clinical documentation. This is a major problem pervasisve throughout the field of CDI, barraging physicians with queries and hoping the physician responds.
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