Literature DB >> 16260235

Teaching residents coding and documentation: effectiveness of a problem-oriented approach.

Sawsan As-Sanie1, Denniz Zolnoun, Mary Ellen Wechter, Georgine Lamvu, Frank Tu, John Steege.   

Abstract

OBJECTIVE: We sought to assess the effectiveness of a problem-oriented approach to teaching residents accurate coding and documentation of ambulatory gynecology visits. STUDY
DESIGN: This was a pilot before-and-after study. Nine resident volunteers underwent 4 individual instructional sessions on coding and documentation with a trained faculty member over 6 weeks. Outcomes were assessed by comparing the appropriateness of procedure and diagnostic codes billed in participant continuity clinic prior to and in the 6 to 9 months following the intervention.
RESULTS: Following the intervention, participants demonstrated an increase in the accuracy of coding the correct category of the evaluation and management service, an increase in the appropriate use of modifiers, and a decline in undercoding errors.
CONCLUSION: Problem-oriented interactive learning appears to be an effective method of teaching residents proper coding and documentation.

Entities:  

Mesh:

Year:  2005        PMID: 16260235     DOI: 10.1016/j.ajog.2005.08.004

Source DB:  PubMed          Journal:  Am J Obstet Gynecol        ISSN: 0002-9378            Impact factor:   8.661


  5 in total

1.  Evaluation and management documentation and coding technology adoption.

Authors:  Susan H Fenton; Larry D Gamm
Journal:  Perspect Health Inf Manag       Date:  2007-08-27

2.  Preliminary development of the physician documentation quality instrument.

Authors:  Peter D Stetson; Frances P Morrison; Suzanne Bakken; Stephen B Johnson
Journal:  J Am Med Inform Assoc       Date:  2008-04-24       Impact factor: 4.497

3.  A reliable billing method for internal medicine resident clinics: financial implications for an academic medical center.

Authors:  Suraj Kapa; Thomas J Beckman; Stephen S Cha; Joyce A Meyer; Charlotte A Robinet; Diane K Bucher; Jeanne M Hardy; Furman S McDonald
Journal:  J Grad Med Educ       Date:  2010-06

4.  Impact of Coding Curriculum on Dermatology Resident Billing.

Authors:  Shayan Owji; Michael Tassavor; Joseph Han; Alexandra Golant; Cula Svidzinski; Jonathan Ungar
Journal:  Cureus       Date:  2022-04-14

5.  Influence of an educational review sheet on chiropractic students' evaluation and management coding performance: A randomized trial.

Authors:  Adam Sergent; Christopher B Roecker; Greg Cofano
Journal:  J Chiropr Educ       Date:  2019-01-07
  5 in total

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