Physician Documentation Query

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With the implementation of the MS-DRGs and the CMS-Instituted RAC (Recovery Audit Contractor) Audits, Physician Queries are now more important than ever. The format of these forms is not protected and may be modified as necessary. Copy the form onto your hospital letterhead.

These Physician Query Forms may not be copyrighted, re-sold, or re-distributed without the prior written consent of Healthcare Cost Solutions, Inc.
 
Physician Query Forms listed on this page were developed to address the required MS-DRG information and in response to California hospital experiences with the RAC Audits.

Note: When you click Purchase Now, you will be taken to PayPal for payment options. After purchasing, an email will be sent to you in 5 to 10 minutes with an access code and directions for downloading the queries. For payment by check, contact the number listed below.

Additional Information:  ceunits@hcsstat.com or 866-427-7828 

 Query Form Package: Entire set of 23 Physician Query Forms

Free Sample

 Key Code (If Any):
$250
Physician Query Forms are also available individually:

Blank / Multi-Purpose Query

$20
Altered Mental Status Query $20

Anemia Query

$20

Angina Query

$20

Bacteremia Query

$20

BMI Query

$20
CHF Query
$20
Convulsions Query
$20
COPD Query $20

Debridement Query

$20

Dehydration Query

$20

Diabetes Query

$20

Drug Use Query $20
GI Bleeding Query $20
Hypertension Query $20
Loss of Consciousness Query $20
Lung bx Query $20
Path Report Query $20
Pneumonia Query $20
POA Query $20
Renal Failure - Renal Insufficiency Query $20
Respiratory Failure Query $20
Skin Ulcer Query $20