A patient is discharged with a secondary diagnosis of congestive heart failure (CHF),unspecified.

HIM2945 Module 02 Module 02 Written Assignment – Query Compliance ReviewInstructions: Review the following three (3) queries before starting the assignment.Query 1A patient is discharged with a secondary diagnosis of congestive heart failure (CHF),unspecified. When CHF is not the principal diagnosis, the CHF must be specified as “diastolic”or “systolic” to qualify as a CC or MCC for coding and reimbursement purposes. The CDIteam queried the provider for further specificity of the CHF as systolic, diastolic or both, and determine if the CHF is acute or chronic. Case Reviewed by the Physician Liaison: · Symptoms: Severe shortness of breath and edema · Low ejection fraction <40% · Treated with an ACE inhibitor · Placed on supplemental oxygen · Medications: IV Lasix, a beta-blocker, and Lanoxin · Discharged on oral Lasix, Lopressor, and Digoxin Query: 1. Please indicate if you agree that the patient has possible acute systolic congestive heartfailure which would be a MCC and increases reimbursement. 2. Indicate if this is a compliant query—why or why not?

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