Q&A: Offering physicians options isn’t necessarily a compliance risk

January 4, 2011

QUESTION: A consultant recently suggested that if we ask a physician to clarify systolic/diastolic on a query form for congestive heart failure (CHF), it might be construed as leading the physician if there had been no previous mention of systolic/diastolic anywhere else in the chart. We never place a query unless the physician states CHF in chart, but we query for it if the physician does not specify the type. If we include the phrases systolic/diastolic on the query form, is that considered introducing new information?

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