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What to Include in a Compliant Physician Query Pol...

A comprehensive checklist for creating effective, consistent, and regulatory-aligned query policies. A query policy must address many elements to facilitate a query process that generates compliant queries. Often, situations are not addressed until they become pertinent and the need to make a decision is urgent, leading to solutions created in a hurry and under pressure rather than with care and consideration. Creating a query policy well in advance of when it is needed, lends itself to developing a policy that is thoughtful and comprehensive. Included here is a checklist of elements to be considered when developing an effective query policy....

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    Latest by category

    Jun 24, 2025

    What to Include in a Compliant Physician...

    A comprehensive checklist for creating effective, consistent, and...

    Jun 19, 2025

    Is Your Coding Strategy Falling Behind? ...

    How to identify hidden gaps in your coding operations—and where t...

    Jun 18, 2025

    Query Tip: Identifying Opportunities To ...

    Acute respiratory failure occurs when the lungs cannot effectivel...

    Jun 18, 2025

    Query Tip: Identifying Opportunities To ...

    Pneumonia is a medical condition that can vary from mild to life-...

    CPT Coding Guidelines Review: Diagnostic...

    This is a series of blogs about the importance of being familiar ...

    Jun 13, 2025

    Query Tip: Identifying Opportunities To ...

    Malnutrition is a significant health concern for many patients th...

    Jun 10, 2025

    When Claims Edits Pile Up: What One Hosp...

    Struggling with unresolved claims edits and growing billing backl...


    Medical Coding Tips

    Hierarchical Condition Categories (HCCs) Release o...

    Hierarchical Condition Categories (HCCs) which is CMS’ risk ...

    Coding Diabetes Mellitus with Presumed Conditions

    Diabetes is a systemic condition, meaning its presence has e...

    FY 2025 ICD-10-CM Code Updates

    The Center for Medicare and Medicaid Services has released t...

    New ICD-10-CM Codes for Eating Disorders

    Recent updates to ICD-10-CM, effective October 1, 2024, have...


    Annual Code Updates

    FY 2025 ICD-10-CM Code Updates

    The Center for Medicare and Medicaid Services has released t...

    ICD-10-CM Code Updates - April 1, 2025

    CMS and the CDC have released the updates to the ICD-10-CM c...

    FY 2025 ICD-10-PCS Code Updates

    The Center for Medicare and Medicaid Services has released t...

    New Technology Add-On Payment (NTAP) Updates for F...

    New Technology Add-on Payments or NTAPs can represent a sign...

    Industry News

    Hierarchical Condition Categories (HCCs) Release o...

    Hierarchical Condition Categories (HCCs) which is CMS’ risk ...

    Coding Diabetes Mellitus with Presumed Conditions

    Diabetes is a systemic condition, meaning its presence has e...

    FY 2025 ICD-10-CM Code Updates

    The Center for Medicare and Medicaid Services has released t...

    New ICD-10-CM Codes for Eating Disorders

    Recent updates to ICD-10-CM, effective October 1, 2024, have...

    Covid-19 Coding

    Covid-19 Diagnosis Coding Common Scenarios

    With the proliferation of COVID-19 cases, we thought we woul...

    Z Code Reporting for COVID-19

    Updates from 1/19/21 in green font.

    Update - Coding COVID-19 When the Test is Negative

    Updates as of 1/01/21: As you may know, assigning the approp...

    AHA COVID FAQs for ICD-10-PCS & New Technology

    Coders are instructed, at this time, to follow the AHA Frequ...


    Query Tips

    Apr 17, 2025

    Writing a Query Question – Simple and Concise is t...

    The question asked in a physician query may be the most impo...

    Oct 11, 2023

    Query Tip: Avoiding a Leading Query – Don't Be Dir...

    "A leading query is one that is not supported by the clinica...

    Sep 19, 2023

    How to Query for Pathology Results

    Tissue findings interpreted by a pathologist are not equival...

    Jul 10, 2023

    Query Tip: What is Conflicting Documentation?

    Conflicting documentation occurs when health care providers ...

    Company News

    2025 Medical Coding Updates: Pre-Purchase of Cours...

    Health Information Associates (HIA) is excited to announce t...

    Increase your coding auditor's productivity with A...

    When Coding Departments are not running smoothly, it can tak...

    Introducing HIA’s Cloud-Based Audit Software, Atom...

    Health Information Associates (HIA), celebrating their 30th ...

    Introducing HIAlearn, an Online Medical Coding Edu...

    Accepted by AHIMA and AAPC, HIAlearn Serves as a One-Stop-Ed...



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