ASSIGNMENT DETAILS
- Your coding manager asks you to review the above case (#ED322223) for any coding discrepancies. You notice that additional information from the provider would allow you to code the diagnosis to a higher level of specificity. Your manager requests that you generate a physician query to resolve the issue.
- Describe the deficiency that was present in the health record that would require a physician query to resolve. Record your response in the box below.
- Refer to the Unit 5 Supplemental Readings “Guidelines for achieving a compliant query practice” and compose a written query to the physician to clarify the deficiency in the health record. Create and record your completed query in the box below.
- Submit the completed assignment worksheet to the Unit 5 Assignment Dropbox.
Requirements: I have attached the full assignment instructions
Your assignment should have no more than 10% quoting.Please use paraphrasing, in-text citation, and a list of references, as appropriate.
Your assignment should:
- Have a cohesive viewpoint that is clearly established and sustained.
- Follow the conventions of Standard English (correct grammar, punctuation, and spelling).
- Be well ordered, logical and unified, as well as original and insightful.
- Follow APA citation style as needed (Please note:You may access information regarding appropriate citation information at the Purdue Global Writing Center).
- The word count should be 75-100 words.
Expert Solution Preview
Introduction:
As a medical professor responsible for creating college assignments and evaluating student performance, it is essential to understand the importance of accurate medical coding. In this assignment, we will address a case with a coding discrepancy and develop a physician query to clarify the deficiency in the health record.
1. Describe the deficiency that was present in the health record that would require a physician query to resolve.
The deficiency in the health record that would require a physician query to resolve is the lack of specificity in the patient’s diagnosis. Additional information is needed from the provider to code the diagnosis to a higher level of specificity. The physician query will help to clarify the ambiguity in the health record and provide accurate information for coding purposes.
2. Refer to the Unit 5 Supplemental Readings “Guidelines for achieving a compliant query practice” and compose a written query to the physician to clarify the deficiency in the health record. Create and record your completed query in the box below.
Dear Dr. [Physician Name],
I am reaching out regarding the recent case with patient [Patient Name], #ED322223. After reviewing the health record, I noticed that additional information is needed to code the patient’s diagnosis to a higher level of specificity. Can you please provide further details regarding the patient’s condition, including any signs or symptoms, severity, location, and duration?
Your assistance in clarifying the ambiguity in the health record will help to ensure accurate coding and billing for our facility. Thank you for your attention to this matter.
Sincerely,
[Your Name]
3. Submit the completed assignment worksheet to the Unit 5 Assignment Dropbox.
Once the assignment worksheet is completed, it should be submitted to the Unit 5 Assignment Dropbox. Make sure that all requirements are met and that the assignment has a cohesive viewpoint, follows the conventions of Standard English and APA citation style, and is well-ordered, logical, unified, original, and insightful.
