What is the calculation to determine the query rate?

• A. Number of health records reviewed divided by the number of queries sent
• B. Number of queries sent divided by the number of health records reviewed
• C. Number of health records reviewed divided by the number of health records assigned to be reviewed
• D. Number of claims denied divided by the number of claims submitted

Answer: (B)

In CDI metrics, the query rate shows how many queries are issued for each health record that is reviewed. It directly links the amount of querying to the workload of chart reviews, giving a gauge of how aggressively queries are being generated.

The calculation is the number of queries sent divided by the number of health records reviewed. This yields a rate of queries per record, allowing you to benchmark and monitor querying activity. For example, 150 queries for 75 records equals 2.0 queries per record, indicating on average how many queries are produced per chart.

The other options mix up the metric or refer to a different measure: reversing the ratio would give charts per query, which is not the query rate; using health records assigned to be reviewed relates to workload or completion, not querying; and a denial rate concerns claims outcomes, not CDI querying activity.