The Provider Query Toolkit: A Guide to Compliant Practicesprovides a comprehensive analysis of query guidelines and easy-to-follow strategies to improve query processes. This valuable resource, perfect for both new CDI specialists and those looking for a refresher on CDI query fundamentals, examines recent changes in coding and payer nuances, denial trends, query compliance, and quality programs.
This resource will provide readers with:
Foundational knowledge for new CDI specialists of query processes and an awareness of compliance concerns.Support for those expanding their reviews (and therefore queries) to a new area, such as outpatient or clinical validation.Guidance for managers/directors to establish compliant query practices and provide policies to stay updated on current regulatory changes.Assurance that processes and compliance standards are being met regardless of setting (e.g., short-term acute care, long-term acute care, children’s hospital, rehab facility, or physician practice).
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