Recently physicians have been saying that they want the questions first in the query so that they know what we are asking when they look at the clinical indicators and treatment.
Our team has been discussing if there is any written rule that states that the question part of the query cannot be presented before the clinical indicators and treatment in a written query. If the question is not leading, and if the suggested diagnoses are appropriate and the question includes clinically unable to determine/unknown is offering the question first a compliance problem?
I was unable to find written direction, but that doesn't mean it's not out there. Any information would be helpful.
Lori Harbison LPN, CCDS, CDIP, CCS