Tracking the number of health records reviewed that resulted in a query provides information regarding which rates?

• A. Overall query rate
• B. Provider query rate
• C. Denial rate
• D. Both overall and provider query rates

Answer: (D)

The key idea is that a query is a request for clarification tied to the chart review, so counting how often a record prompts a query shows how frequently documentation issues occur. By looking at the number of records that resulted in a query and dividing by the total records reviewed, you get the overall query rate. If you further break the data down by provider, you can compute the provider-specific query rate by dividing the number of that provider’s records that produced a query by the total records reviewed for that provider. Together, tracking records with queries informs both the overall and provider query rates. Denial rate is a different metric and isn’t derived from how many records prompted queries.