1.   MEDITECH 6.1 Upgrade Provider Alert: Responding to Clinical Documentation Improvement Queries in the EMR

2. RESPONDING to Electronic Query (NEW PROCESS in MEDITECH 6.1)
Electronic Queries will show up in your sign queue (similar to MEDITECH 6.0)
Select the document, then click the “View and Save” button at bottom of screen
You will be informed the report is missing information required for signature, click the “Close” button
Click the “Edit Document” at bottom of screen

3. To view/read the clinical information and the Electronic Query that has been entered, click the drop down arrow in the “Clinical Clarification Query” field. The field displays who the CDI information was entered by. Once you have read the query click the “OK” button at bottom of screen
The Provider can NOT edit any of the information provided by the CDI/Coding Staff
Select the appropriate diagnosis from the “Problem List”

4. In your best professional judgement, the diagnosis selected must be to the highest level of acuity/severity/specificity as clinically appropriate

5. Complete the “Assessment and Plan” section for the diagnosis added
You must “Attest” to Updating the Problem List (in response to the Electronic Query), click “Agree” (if you choose a response other than “Agree” you must provide additional comments)

6. If the Electronic Query is to obtain clarification that does not require the selection of a diagnosis from the Problem List, you must manually type in your response in the green “Query” field next to the line that reads “PHYSICIAN RESPONSE” (as opposed to selecting a diagnosis from the Problem List)
For example: the Debridement Query requires clarification for excisional debridement vs non-excisional debridement (the response must be manually entered by the MD)
As a reminder please document your response under “Physician Response” and in the PROGRESS NOTES/DISCHARGE SUMMARY

7. Click “View and Save” button at bottom of screen
Click “Save” button at bottom of screen
Once you have completed all requirements for the query, click on “Sign” button at bottom of screen
You will get alert you have 1 report selected for signature, click on the “Sign” button
Enter your “PIN” then the “OK” button