Standard Medical Query

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Physician Query Examples - AHIMA

https://library.ahima.org/doc?oid=301700

The documentation of verbal queries should follow a standard format to include all necessary information. Spoke with Dr. X regarding the documentation of ... Please document the condition and the causative organism (if known) in the medical record. Source: …

FDA Unveils Its Own Medical Queries—A Standardized …

https://www.thefdalawblog.com/2022/09/fda-unveils-its-own-medical-queries-a-standardized-approach-for-grouping-meddra-preferred-terms-that-will-impact-nda-bla-safety-analyses-and-drug-labeling/

On September 14, 2022, FDA/CDER/Office of New Drugs, in collaboration with the Duke-Margolis Center for Health Policy, hosted a virtual meeting on advancing …

Query Physicians to Improve Documentation and Dx Coding

https://www.aapc.com/blog/37864-query-physicians-to-improve-documentation-and-dx-coding/

2019 update: Guidelines for achieving a compliant query …

https://acdis.org/articles/2019-update-guidelines-achieving-compliant-query-practice

Compliant query practice should follow these tenets: Queries must be accompanied by clinical indicator (s) that: Are specific to the patient and episode of care. …

Sample Clinical Documentation Query Templates Table of …

https://www.pinsonandtang.com/wp-content/uploads/2018/01/Sample-Physician-Query-Templates.pdf

Documentation in the medical record also indicates: GFR = Based on your medical judgment, can you further clarify in the progress notes the appropriate stage of CKD? …

AHIMA Guidance on Compliant Queries — Knowledge …

https://www.mmplusinc.com/kb-articles/ahima-guidance-on-compliant-queries

The AHIMA article defines the purpose of a query as follows: “The desired outcome from a query is an update of a health record to better reflect a practitioner’s intent and clinical …

Determine when and how to query physicians | ACDIS

https://acdis.org/articles/determine-when-and-how-query-physicians

Both coders and CDI specialists can query physicians when documentation: Is conflicting, imprecise, incomplete, illegible, ambiguous, or inconsistent. Describes or is …

Ethical Standards for Clinical Documentation …

https://www.ahima.org/media/r2gmhlop/ethical-standards-for-clinical-documentation-integrity-cdi-professionals-2020.pdf?oid=301868

2.2. Comply with AHIMA's standards governing data reporting practices, including health record documentation and clinician query standards. 3. Query the provider (physician or …

Standardised MedDRA Queries (SMQs) | MedDRA

https://www.meddra.org/how-to-use/tools/smqs

Standardised MedDRA Queries (SMQs) are used to support signal detection and monitoring. SMQs are validated, standard sets of MedDRA terms. These sets of terms …

Standardised MedDRA Queries

https://www.meddra.org/standardised-meddra-queries

Standardised MedDRA Queries (SMQs) are tools developed to facilitate retrieval of MedDRA-coded data as a first step in investigating drug safety issues in …

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