Health records are data-rich, and more stakeholders are looking to dip into them for increasingly diverse purposes such as population health and value-based care programs.
The first quarter of 2019 has ended. Do you know what that means? Unfortunately, it means that income taxes were due in April. But luckily for inpatient coders and CDI professionals, it also means that we have new Coding Clinic guidance to take our minds off our taxes.
A query is a communication tool or process used to clarify documentation in the health record for documentation integrity and accurate code assignment for an individual encounter in any healthcare setting.