The Common CDI Query Handbook Paperback – December 11, 2025

Understand the PurposeCDI queries aim to clarify documentation for accurate coding, reimbursement, and quality reporting—not to lead providers or alter clinical judgment.Follow Official GuidelinesAlways align with AHIMA and ACDIS query practice briefs: queries must be clear, concise, compliant, and non-leading.Use Clinical IndicatorsSupport every query with objective clinical evidence (labs, imaging, progress notes, treatments) to justify the need for clarification.Be Specific and RespectfulPhrase queries in a neutral tone and provide specific options, including an "other" or "clinically undetermined" choice when applicable.Know When to QueryCommon query opportunities include:Incomplete or vague diagnoses (e.g., "sepsis" vs. "suspected infection")Conflicting documentationMissing cause-and-effect relationshipsConditions impacting risk adjustment or quality metricsQuery Format MattersUse approved formats (paper, electronic, verbal) and document the query and response properly. Track responses for compliance and follow-up. Read more