Which of the following may result in an incomplete health record deficiency being assigned to a provider?

Which of the following may result in an incomplete health record deficiency being assigned to a provider?
A . A quality query
B . A retrospective query
C . A concurrent query
D . An outstanding query

View Answer

Answer: D

Explanation:

An outstanding query may result in an incomplete health record deficiency being assigned to a provider, if the query is not answered or resolved before the discharge or final coding of the patient. An outstanding query is a query that has been generated by the clinical documentation integrity practitioner (CDIP) or the coder, but has not been acknowledged or addressed by the provider. An outstanding query may affect the accuracy and completeness of the health record, as well as the coding, reimbursement, quality measures, and compliance of the hospital.

References:

https://www.ahima.org/media/owmhxbv1/cdip_contentoutline_2023_final.pdf: https://my.ahima.org/store/product?id=67077