The patient was admitted for a traumatic injury resulting from a car accident.

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 Unresolved -The provider response does not answer the POA-The query seeks to resolve the question of POA. query – the question is unresolved. Secondary -The query seeks to clarify the presence of a Complete-The provider response is complete, allowable, and secondary diagnosis. helpful. Principal – The query seeks to clarify the principal diagnosis. Not Allowed -The provider response is present but contains Not Necessary -The query was not necessary and should not content that is not allowed. have been sent to provider. Second Query -There is no provider response. A second query is necessary.

Query = POA A Provider = Unresolved Query = POA B Provider = Complete C Query = POA Provider = Not Allowed Query = POA D Provider = Second Query Query = Secondary E Provider = Unresolved F Query =Secondary Provider = Complete Query = Secondary G Provider=Not Allowed Query =Secondary H 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 O Provider= Not Allowed Query= Not Necessary P Provider=Second Query