AHIMA Publishes Query Toolkit
As alternative payment models and value-based care initiatives are gradually enacted, clinical documentation improvement (CDI) has become more necessary to their success than ever. And the key to a successful CDI program is solid querying practices. AHIMA recently published a Query Toolkit in AHIMA’s Body of Knowledge in order to help CDI professionals streamline the process of querying.
Querying has become a common communication and educational tool for clinical documentation improvement (CDI) and coding departments. An effective query process aids the hospital’s compliance with billing/coding rules and serves as an educational tool for providers, CDI professionals, and coding professionals.
Melanie Endicott, MBA/HCM, RHIA, CHDA, CDIP, CCS, CCS-P, FAHIMA, senior director of HIM practice excellence at AHIMA, and a co-author of the Toolkit seeks to address some of the most common problems when it comes to writing queries.
Those problems include: “Writing compliant queries that include all of the relevant documentation, including pointers and clinical indicators. The query templates [provided in the Toolkit] also help to show CDI professionals what type of documentation to look for in the record for these specific conditions,” said Endicott.
Some of the many specific conditions discussed in the toolkit include sepsis, pneumonia, skin ulcers, rheumatoid arthritis, and self harm vs. accidents, among many others.