ICD10monitor June 20, 2022
Cheryl Ericson, RN, MS, CCDS, CDIP

The best practice is to add any retrospective query response as an addendum to the health record.

Although the goal of clinical documentation integrity (CDI) professionals is to issue queries concurrently, there is a subset of queries, often related to performance on quality-of-care measures (i.e., mortality) that are issued retrospectively. Recently, I’ve received a few inquiries by CDI professionals because providers at their organization are pushing back against retrospective queries, claiming they are improper or even fraudulent, so they will not even respond. So, what are the rules when it comes to retrospective queries? Or, better yet, are there any rules related to retrospective queries?

The irony is, at one time, all queries were retrospective because they were the...

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Topics: CMS, Govt Agencies, HIM (Health Inf Mgmt), Insurance, Medicare, Provider, Technology
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