Literature DB >> 17618817

Surgical residents' knowledge of documentation and coding for professional services: an opportunity for a focused educational offering.

Samir M Fakhry1, Linda Robinson, Kimberly Hendershot, H David Reines.   

Abstract

INTRODUCTION: A working knowledge of documentation and coding for physician services (DCPS) is increasingly important for a successful practice. There is no standardized, widely available educational offering available to surgical residents in DCPS. The purpose of this study was to survey surgical residents and attendings for their knowledge of documentation and coding and their opinions about its importance in their training and practice.
METHODS: A convenience sample of 60 surgical residents and 46 attendings from 5 surgical residency training programs were administered a written survey on DCPS.
RESULTS: The majority of residents were male (60%), in university-based programs (82%), and planned to work in a surgical specialty (55%) A larger proportion of attendings were male (80%) and in general surgery practice (62%), and a smaller proportion was university based (61%). Similar proportions of residents and attendings, 82% and 89%, respectively, stated they had not received adequate training in DCPS. The vast majority of residents (85%) felt they were novices at coding and billing, whereas 61% of attendings stated that they were somewhat knowledgeable. As a group, residents answered 54% of 25 knowledge questions correctly, and attendings answered 77% correctly. Ninety-two percent of residents believed that expertise in DCPS would make a difference in their practice, whereas 80% of attendings stated that this knowledge was currently important to their practice. Similar proportions of residents and attendings, 85% and 87%, respectively, thought that it should be an important part of residency training.
CONCLUSIONS: Residents in this survey are aware of the importance of DCPS but feel inadequately prepared for this area of practice. The residents' knowledge of basic concepts in DCPS is marginal. Attendings surveyed had similar opinions and somewhat better knowledge of the subject. A widely available, standardized educational offering on DCPS is needed and should be provided as part of the practice-based core competencies of surgical residency training.

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Year:  2007        PMID: 17618817     DOI: 10.1016/j.amjsurg.2006.11.031

Source DB:  PubMed          Journal:  Am J Surg        ISSN: 0002-9610            Impact factor:   2.565


  12 in total

1.  Facilitating the transition to practice: a weekend retreat curriculum for business-of-medicine education of United States anesthesiology residents.

Authors:  Elena J Holak; Olga Kaslow; Paul S Pagel
Journal:  J Anesth       Date:  2010-06-19       Impact factor: 2.078

2.  How accurate are we? A comparison of resident and staff physician billing knowledge and exposure to billing education during residency training

Authors:  Ryan E. Austin; Herbert P. von Schroeder
Journal:  Can J Surg       Date:  2019-10-01       Impact factor: 2.089

3.  Resident awareness of documentation requirements and reimbursement: a multi-institutional survey.

Authors:  Kenan W Yount; Bradley N Reames; Clark D Kensinger; Marissa A Boeck; Peter W Thompson; Joseph D Forrester; Gilbert R Upchurch; Paul G Gauger; Irving L Kron; Christine L Lau
Journal:  Ann Thorac Surg       Date:  2013-12-04       Impact factor: 4.330

4.  Chart smart: a need for documentation and billing education among emergency medicine residents?

Authors:  Brian Dawson; Kelly Carter; Kori Brewer; Luan Lawson
Journal:  West J Emerg Med       Date:  2010-05

5.  An Educational Intervention to Improve Inpatient Documentation of High-risk Diagnoses by Pediatric Residents.

Authors:  Deepa Kulkarni; Jayme Heath; Amanda Kosack; Nicholas J Jackson; Audrey Crummey
Journal:  Hosp Pediatr       Date:  2018-07

6.  Transition to Practice in Anesthesiology: Survey Results of Practicing Anesthesiologists on Their Experience.

Authors:  Catherine M Kuza; Monica W Harbell; Elizabeth B Malinzak; Kristina L Goff; Mark C Bicket; Ifey C Ifeanyi-Pillette; Becky J Wong; Ashish K Khanna
Journal:  J Educ Perioper Med       Date:  2019-04-01

7.  Assessing medical student documentation using simulated charts in emergency medicine.

Authors:  Wirachin Hoonpongsimanont; Irene Velarde; Christopher Gilani; Michael Louthan; Shahram Lotfipour
Journal:  BMC Med Educ       Date:  2018-08-28       Impact factor: 2.463

8.  Practice Management Knowledge Amongst Plastic Surgery Residents in Canada: A National Survey.

Authors:  Sultan Al-Shaqsi; Brian Hong; Ryan E Austin; Kyle Wanzel
Journal:  Aesthet Surg J Open Forum       Date:  2020-06-07

9.  Billing by residents and attending physicians in family medicine: the effects of the provider, patient, and visit factors.

Authors:  Morhaf Al Achkar; Seema Kengeri-Srikantiah; Biniyam M Yamane; Jomil Villasmil; Michael E Busha; Kevin B Gebke
Journal:  BMC Med Educ       Date:  2018-06-13       Impact factor: 2.463

10.  Preparation in the business and practice of medicine: perspectives from recent gynecologic oncology graduates and program directors.

Authors:  Matthew Schlumbrecht; John Siemon; Guillermo Morales; Marilyn Huang; Brian Slomovitz
Journal:  Gynecol Oncol Res Pract       Date:  2017-09-22
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