The Physician Query Process Compliance Issues
The Physician Query Process &
Compliance Issues
HCCA West Coast Regional Conference June 2010
Newport Beach, CA
Speaker
? Gloryanne Bryant, RHIA, RHIT, CCS, CCDS ? Managing Director of HIM, NCAL Revenue Cycle ? Kaiser Permanente, Oakland, CA
Disclaimer
? This material is designed and provided to communicate information about clinical documentation, coding, and compliance in an educational format and manner.
? The author is not providing or offering legal advice but, rather, practical and useful information and tools to achieve compliant results in the area of clinical documentation, data quality, and coding.
? Every reasonable effort has been taken to ensure that the educational information provided is accurate and useful.
? Applying best practice solutions and achieving results will vary in each hospital/facility and clinical situation.
Goals and Objectives
? Review the history behind physician queries ? Developing physician query policies and
procedures: different models and staff ? Putting the physician query process into action
? Why, When and How ? CDI and HIM Coding
? Maintaining a compliant physician query process: traditional steps
? Risk Areas for Physician Queries and CDI Programs
? Summary of your action items for success
Keep this Quote in Mind in Your/Our Healthcare Compliance World
? The time is always right to what is right!
? Martin Luther King Jr.
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