There are 11 questions in this assignment. Five questions are Scenario based, and six questions

There are 11 questions in this assignment. Five questions are Scenario based, and six questions are multiple choice. The scenario questions are worth 4 points each, and the multiple choice are worth 1 point each. The Scenario based questions are more complex, and the instructions for them are detailed. Scenario based instructions are below. A physician query that originates in Health Information is used to obtain clarification from the responsible healthcare provider to ensure complete coding and/or billing. The content and readings from this module are necessary for the successful completion of this assignment. This assignment will help students understand the different types of queries, the purpose of queries, and the appropriateness of queries. There are 5 scenario questions. Scenario Question Instructions: Read through the patient documentation provided and through the HIM question content for each scenario carefully. Next, use your knowledge of physician queries to answer the question on the scenario. First, you will identify the kind of query asked for each scenario, and then you will evaluate the provider’s response. In the following 5 scenarios, you are asked to: Step 1 – Identify the type of question being asked in the HIM question query. There are 4 possible choices for query: POA – The query seeks to resolve the question of POA. Secondary – The query seeks to clarify a secondary diagnosis. Principal – The query seeks to clarify the principal diagnosis. Not Necessary – There was no purpose for the query. It was not necessary and should not have been sent to provider. Step 2 – Assess if the healthcare provider has responded to the query in a complete, allowable, and helpful fashion. There are 4 possible choices for healthcare provider response: Unresolved -The provider response does not answer the query – the question posed is unresolved. Complete – The provider response is complete, allowable, and helpful. Not Allowed – The provider response is present but contains content that is not allowed or content that is not appropriate. Second Query – The provider of the care did not respond. There is no provider response. A second query is necessary. Step 3 – Establish your two choices made in the above two steps. There are 16 possible combinations from Step 1 and Step 2. Step 4 – Mark the letter that matches your answer for the scenario by reviewing the 16 possible combinations. ALL 5 scenario answers will have ONE letter (A-P) selection for the answer and is worth 4 points. Please use coding resources to complete the worksheeetBottom of Form : Scenario Dr. Sandler: Query and Provider Response Patient Documentation: The patient was admitted for a traumatic injury resulting from a car accident. Fracture of Femur, left, is documented first on the coding summary by Dr. Sandler. HIMQuestion: I note that a radiology report indicates pneumonia, left lobe. If you feel this needs to be added and coded on this account, please make the necessary additions to your documentation, and return to me. Provider Response: “This is Aimee, I’m Dr. Sandler’s nurse. Yes, please add pneumonia, left lobe and code it. Dr Sandler is on vacation this week”. Scenario Dr. Sandler: Identify two answers below, one from each column. What does the Query seek to answer? The Healthcare provider response is? Answer Choices: Type of Question Answer Choices: Healthcare Provider Response POA-The query seeks to resolve the question of POA. Secondary -The query seeks to clarify the presence of a secondary diagnosis. Principal – The query seeks to clarify the principal diagnosis. Not Necessary -The query was not necessary and should not have been sent to provider. Unresolved -The provider response does not answer the query – the question is unresolved. Complete-The provider response is complete, allowable, and helpful. Not Allowed -The provider response is present but contains content that is not allowed. Second Query -There is no provider response. A second query is necessary. Query = POA Provider = Unresolved Query = POA Provider = Complete Query = POA Provider = Not Allowed Query = POA Provider = Second Query Query = Secondary Provider = Unresolved Query =Secondary Provider = Complete Query = Secondary Provider=Not Allowed Query =Secondary Provider=Second Query Query =Principal Provider = Unresolved Query= Principal Provider= Complete Query = Principal Provider= Not Allowed Query= Principal Provider=Second Query Query= Not Necessary Provider= Unresolved Query= Not Necessary Provider= Complete Query= Not Necessary Provider= Not Allowed Query= Not Necessary Provider=Second Query

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