Sample queries needed

Hi all,

The Forms & Tools Library Committee is currently reviewing some of the older sample query forms in the Resource Library and removing any that are out-of-date. In light of this, we're looking for new submissions! If you have a sample query template you'd be open to sharing, please send it my way either by attaching it to this thread or by email (

We appreciate your help!


  • HI
    At our facility we are looking at revamping our query templates.  Looking for input on whether other hospitals are using a format where choices for physician response are provided using check boxes, where the physician checks the box for the response he intends.
    ( example)
    Please indicate the clinical significance, if any, of documented sodium 125

    (  ) documented sodium of 125 significant for hyponatremia
    (  ) documented sodium of 125 not clinically significant
    (  ) other explanation for sodium of 125
    (  ) unable to determine

    thanks in advance for any responses,
  • Can you give me your opinion about the Query below?

    We work in Risk Adjustment Coding, the below format was proposed and as a QA Rept, I'm wondering if we are leading the provider by adding the request for MEAT inside the query verbiage. Thank you

    Query Sample: The Diagnosis of Unspecified Depression its present in A&P has only the screening "Behavioral Health Review Assessment" as supporting element, please add MEAT for Depression if it was assessed and treated on this day of service.

Sign In or Register to comment.