n 2016, CMC had a case-mix index of 1.729. ThHCAHPS

A patient was admitted with chest pain and shortness of breath. Preliminary lab work indicated nonelevated troponin with LBBB noted on EKG. The patient developed a fever and chills, with an x-ray finding of an infiltrate in the left lung. Sputum culture identified Klebsiella. The patient slowly improved after antibiotics were administered. The final discharge diagnosis was listed as chest pain and the patient was sent home on piperacillin/tazobactam. A coding professional sent this query: Dr. Reynolds, based on the x-ray finding of lung infiltrate, sputum culture results positive for Klebsiella, and the discharge medication of piperacillin/tazobactam, can you identify the condition that was being treated? Is this a compliant query? Why or why not? Yes, because clinical indicators are being provided without leading the provider to a response. No, because there were no multiple-choice options given to the provider to choose from. No, it is inappropriate for a query to be open-ended and not provide information on impact to a provider’s quality score.

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