HELP~
Good morning! Can someone help me with a question? While I know we cannot introduce NEW information for queries etc. If a provider says "please see detailed information from DRs initial report dated yesterday" can we use info from that relative to a query? This pt was a tx patient from another hospital so can we glean info from it since the provider here tells us to "see the detailed info" from that report. Thanks!
I think we can, but wanted to see what the general consensus was. TIA@
Juli
Juli Bovard RN CCDS
Certified Clinical Documentation Specialist
Clinical Effectiveness/Clinical Quality
Rapid City Regional Hospital
755-8426 (work)
786-2677 (cell)
"No Limit to Better......"
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I think we can, but wanted to see what the general consensus was. TIA@
Juli
Juli Bovard RN CCDS
Certified Clinical Documentation Specialist
Clinical Effectiveness/Clinical Quality
Rapid City Regional Hospital
755-8426 (work)
786-2677 (cell)
"No Limit to Better......"
[CCDS_pin_1inch]
----------------------------------------------------------------------
Regional Health's mission is to provide and support health care excellence in partnership with the communities we serve.
Note: The information contained in this message, including any attachments, may be privileged, confidential, or protected from disclosure under state or federal laws . If the reader of this message is not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any dissemination, distribution, or copying of this communication is strictly prohibited. If you have received this communication in error, please notify the Sender immediately by a "reply to sender only" message and destroy all electronic or paper copies of the communication, including any attachments.
Comments
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Thursday, December 04, 2014 10:10 AM
To: Bovard, Juli
Subject: [cdi_talk] HELP~
Good morning! Can someone help me with a question? While I know we cannot introduce NEW information for queries etc. If a provider says "please see detailed information from DRs initial report dated yesterday" can we use info from that relative to a query? This pt was a tx patient from another hospital so can we glean info from it since the provider here tells us to "see the detailed info" from that report. Thanks!
I think we can, but wanted to see what the general consensus was. TIA@
Juli
Charlene