Querying: How to Avoid Asking the Wrong Question...or Asking the Question Wrong

Clinical documentation can be rife with illegible, incomplete, ambiguous, inconsistent and imprecise language. And all it takes is one of these issues for a payer to deny a claim. Queries are the obvious solution — but your clinical documentation integrity (CDI) professionals may be asking the wrong (or too many) questions, or they’re asking questions the wrong way. Consequently, you don’t get the clarification you’re seeking. Even worse, you risk alienating your providers, who may be reluctant to respond to future queries.

This isn’t just about undermining your CDI process and quality metrics — it’s also a threat to your revenue and compliance. Good news: You can ensure provider responsiveness by crafting appropriate, clear and compliant queries. The presenter of this exclusive ICD10monitor webcast, Dr. Erica Remer, will show you how. As a physician, she’s been on the receiving end of queries, both good and bad. As a CDI consultant, she has devoted much thought and effort to assisting healthcare organizations with the development of effective queries. Dr. Remer’s unique perspective, illuminated by real-world examples, will steer you toward provider queries that consistently yield thoughtful, meaningful clarification.

Why This is Relevant:

Why accept clam denials as inevitable, especially when they can be prevented with relevant, well-constructed provider queries? Dr. Remer will share proven tactics, based on industry standards and her years of experience, for writing queries that lead to rock-solid clinical validation. Along the way, you’ll gain the respect and cooperation of your providers, contributing to a stronger CDI program and a healthier bottom line.

Learning Objectives:

• Be able to differentiate and select between traditional and clinical validation queries
• Know how to offer appropriate and adequate clinical indicators
• Learn how to be compliant in your physician queries
• Master the ability to compose clear, compelling queries that elicit the desired clinician response

Who Should Attend:

CDI professionals, coders and physician advisors.