groupPatricia Catterson & Jennie Shepheard

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In the writing of clinical documentation queries, Clinical Coders (CCs) must be careful what they ask for. They must be aware of the purpose of a documentation query, their professional responsibility and the pitfalls to avoid in writing documentation queries, as well as the positive and negative impacts on data products which arise from the process of writing documentation queries. This article is a further discussion of a paper entitled “Coding Queries – be careful what you ask for!” which was presented at the 2016 Health Information Management Association of Australia/National Centre for Classification in Health Conference by Patricia Catterson of Ballarat Health Services, and Jennie Shepheard of Department of Health and Human Services Victoria.

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