RE: [EXTERNAL] RE:Documentation with no clinical support

kshumpertkshumpert
edited May 2016 in CDI Talk Archive
Same here. I usually handle these as verbal queries as well because interpersonal communication can explain and clarify in ways that print never can. When I discuss these, I utilize criteria that the auditors typically cite so it isn't misconstrued that I am questioning the diagnosis, but rather I am clarifying. In the beginning, I think I was most apprehensive about these queries. My greatest fear was that I would damage professional relationships with my valid question. Quite the contrary, these discussions go well; neither of us want a denial.

Thanks,
Kathy
Kathy Shumpert, MSN, RN, CCDS

Clinical Documentation Improvement Specialist
Community Howard Regional Health
3500 S Lafountain
PO Box 9011
Kokomo, IN 46902
Office 765-864-8754
Cell 765-431-0123
Fax 765-453-8447


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