Your are the HIM director at somewhere hopital. You have supected there are problems in the physician query process for a while now, and you have planned to review the policy and query form to look for any compliance issues. you would rather find the problem yourself before the Office of the Inspector General (OIG) finds them. Your task today is to evaluate the physician query process at your facility.
Evaluate the policy and procedure on all aspects, including:
- Standard for completion of a proper physician query
- Appropriate format of the policy
- Form design
- Process described
- Need to meet discharged not final billed (DNFB) standards)