The query process is a compliance quagmire. Make one or two inadvertent false steps and you'll set in motion a cascading chain of events that could imperil your organization—legally and financially. And to complicate an already-complicated subject, there are important changes to the 2016 Practice Brief, "Guidelines for Achieving a Compliant Query Practice." The 2019 Practice Brief will supersede the January 2016 Practice Brief, and you need to know the changes in order to remain compliant.
During this exclusive ICD10monitor educational webcast, led by Dr. William E. Haik, an acknowledged industry expert, you and your team will learn what has changed since the 2016 ACDIS/AHIMA Physician Query Practice Guides were adopted. And, importantly, you will learn how to address compliance concerns related to the query process.
Dr. Haik will address key points of differentiation between the 2016 and the 2019 Practice Brief. For example, you will learn...
- How the "role prior encounters" may be used in queries and the caveats which impact their use;
- How "uncertain terms" such as "probable," "likely," "possible," etc. may be used in the formation of a physician query;
- The defining of clinical indicators and how they may be used in the formation of a physician query; and
- Policies and procedures related query retention and escalation policy.
Why This is Relevant:
The purpose of the 2019 updated Query Practice Brief is to establish and support industry-wide best practices for the function of clinical documentation querying. Therefore, this webcast serves as a guide for organizational policy and processes in the development of a compliant query practice. Additionally, the Practice Brief provides a resource for external reviewers such as the U.S. Department of Health and Human Services Office of Inspector General (HHS/OIG), government contractors and payer review agencies, in their evaluation of provider queries and the documentation they provide.
Take this quick quiz and see if you and your team, like so many others, struggle with the following issues associated with the query process:
- Do you know the role of prior encounters in the query process?
- Do you know the timeline in which a prior encounter may be referenced?
- Do you how to apply "uncertain terms" such as "probable," "likely," "possible," etc. in a physician query?
- Do you know who is impacted by the 2019 Updated Physician Practice Query Brief?
At the completion of this ICD10monitor educational webcast, led by Dr. Haik, you will…
- Know how to describe how the Practice Brief should be used to promote compliant query practice;
- Understand the definition of a clinical documentation query and to whom (job roles) this Practice Brief applies;
- Know how to identify opportunities to apply a query;
- Learn how to apply information found within prior encounters in query practice;
- Know how to utilize the different formats of query compliantly; and
- Learn how to discuss the suggested policies and procedures to support compliant query practice.
Who Should Attend:
Those who are expected to gain the most value from this exclusive ICD10monitor webcast are HIM and CDI professionals along with those in case management, quality, compliance, revenue cycle, physician groups, facility leadership, and financial services.