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Author Archives: Chris Richards, RHIA, CCS

About Chris Richards, RHIA, CCS

Chris joined Barry Libman Inc. as a Senior Associate in 2014 after 27 years with Masspro, the Massachusetts Quality Improvement Organization (QIO). Chris’s areas of expertise include health information administration, case management, quality improvement, hospital payment oversight, and documentation education initiatives. He has a comprehensive understanding of the Federal Medicare program rules and regulations, as well as extensive experience ensuring that clinical coding and DRG assignment result in accurate provider reimbursement. A graduate of Hobart College, he received a postgraduate Bachelor of Science in Health Information Administration from Northeastern University.
Specific Examples of Common Query Scenarios and Four Key Aspects of Documentation

Specific Examples of Common Query Scenarios and Four Key Aspects of Documentation

by Christopher G. Richards, RHIA, CCS, Senior Associate, Barry Libman, Inc.

Completeness simply refers to the problems that are created for the coder when specific pieces of documentation are missing from the medical record. This could include the missing test results. For example … Read more

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Physician Query Basics and When to Query

Physician Query Basics and When to Query

by Christopher G. Richards, RHIA, CCS

What is a physician query?
Simply put, a physician query is a written communication tool that will allow coders to improve the accuracy of coding by actively involving the physician in the documentation clarification process. Full and complete documentation is the essential key to … Read more

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Documentation Precision and an Example of How a Good Physician Query is Developed

Documentation Precision and an Example of How a Good Physician Query is Developed

We talk about precision in the context of documentation of an unspecified diagnosis when clinical reports and clinical documentation is noted to suggest a more specific diagnosis. For coding purposes, there exists a need to request further specificity or the degree of severity of a …

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