If you have worked as a clinical documentation improvement specialist, you are familiar with some of the following warnings: Don’t lead the provider in your verbal or written query Only code active problems currently treated Queries should be based on clinical evidence in the medical record Do not discuss reimbursement in either verbal or written […]

Henry Price – Physician Advisor at Hub Health Systems, LLC During my years of practicing Medicine in the inpatient setting, I have encountered multiple CDI professionals asking the same questions, and I provided the same answers. One particular answer elicits an unpleasant response from some of the CDI professionals. They will ask me “why did you […]