tci Outpatient Facility Coding Alert - 2017 Issue 11

CDI: Test Yourself: Can You Spot the Mistakes That Lead to Leading Queries?

Learn writing techniques that transform a leading query into a non-leading query. "Leading" queries hamper your clinical documentation improvement (CDI) efforts and can cause all sorts of compliance headaches, warned Leonta Williams, RHIT, CPCO, CPC, CEMC, CHONC, CCS, CCDS, in a class she taught at the American Academy of Professional Coders Regional Conference in Salt Lake City. Williams, director of Medical Coding at Georgia Cancer Specialists, challenged AAPC attendees to identify which of the three queries below are leading: 1. Dear Dr. X: The documentation indicates only lung cancer (unspecified); however, a diagnosis code of head and neck cancer...

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