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Use this sample physician query form for documenting sepsis as a template for your organization. Juli Bovard, RN, CCDS, CDI specialist at Rapid City (South Dakota) Regional Hospital shared this sample sepsis query form with the ACDIS CDI Talk networking group.
This tip sheet originally appeared on on the ACDIS website and was submitted by Nick Stultz, RN, CCDS, CDI specialist at Penn State Health Milton S. Hershey Medical Center.
This sample has been reviewed and approved by ACDIS' Forms & Tools Library Committee. The committee recommends that, should you choose to use this sample, you adapt it to your particular programmatic needs, EHR system requirements, and organizational diagnostic criteria. Additionally, the committee would like to recommend that those adapting this sample for their own use remember that “in the setting of” does not always establish a cause and effect relationship. More specific language may be necessary to adequately link two conditions. For more information on this topic, click here.
The following is a sample query for renal failure which originally appeared in ACDIS' CDI Journal. The query applies to documentation in an EPIC electronic health record.
The following crossword puzzle includes CPT codes for musculoskeletal procedures. The clues used to determine the correct answers are the CPT code descriptors.
The following is a crossword puzzle consisting of CPT codes for respiratory procedures. The clues are code descriptions and the answers are the applicable CPT codes. See how fast you can fill this out!
