Queries as part of the medical record

jcollett

Hi All,

I am looking for any information that supports making a CDI query part of the medical record that can be coded from, is best practice. Most of the references I have found so far say it is up to the individual facility/ health system to determine whether or not they want queries to be part of the legal medical record. What do your facilities/systems do and how did you arrive at that decision?

Thanks in advance!

alkeary

Hello,

I am also interested in this information. Thank you in advance for sharing.

https://forums.acdis.org/discussion/5427/queries-as-part-of-the-medical-record

Sharme.Brodie@hcpro.com

In my experience I have also found that all the resources (Updated 2022 Guidance for a Compliant Query Practice) say it is up to the individual facility to make that decision.