Improving Orthopedic Resident Knowledge of Documentation, Coding, and Medicare Fraud

Varacallo, Matthew; Wolf, Michael; Herman, Martin J.

doi:10.1016/j.jsurg.2017.02.003

Cited by 17 publications

(32 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Several studies have proposed the need to implement or improve formal education in billing and coding during orthopedic surgery residency training. ( 18 - 20 ) Regardless of the cause, continuing trends toward simplified coding could be detrimental to the database research community, since a single code cannot be analyzed to compare outcomes between techniques. Thus, the ease and time efficiency of simplified coding needs to be balanced by the need for useful coding data for future research purposes, and increased efforts to train physicians in coding should be implemented.…”

Section: Discussionmentioning

confidence: 99%

Trends in surgical treatment of femoral neck fractures in the elderly

Lehtonen

Stibolt

Smith

et al. 2018

Einstein (São Paulo)

View full text Add to dashboard Cite

Objective To analyze recent demographic and medical billing trends in treatment of femoral neck fracture of American elderly patients.Methods The American College of Surgeons National Surgical Quality Improvement Program database was analyzed from 2006 to 2015, for patients aged 65 years and older, using the Current Procedural Terminology codes 27130, 27125, 27235, and 27236. Patient demographics, postoperative complications, and frequency of codes were compared and analyzed over time. Our sample had 17,122 elderly patients, in that, 70% were female, mean age of 80.1 years (standard deviation±6.6 years).Results The number of cases increased, but age, gender, body mass index, rates of diabetes and smoking did not change over time. Open reduction internal fixation was the most commonly billed code, with 9,169 patients (53.6%), followed by hemiarthroplasty with 5,861 (34.2%) patients. Combined estimated probability of morbidity was 9.8% (standard deviation±5.2%), and did not change significantly over time. Postoperative complication rates were similar between treatments.Conclusion Demographics and morbidity rates in femoral neck fractures of elderly patients did not change significantly from 2006 to 2015. Open reduction internal fixation was the most common treatment followed by hemiarthroplasty.

show abstract

Section: Discussionmentioning

confidence: 99%

Trends in surgical treatment of femoral neck fractures in the elderly

Lehtonen

Stibolt

Smith

et al. 2018

Einstein (São Paulo)

View full text Add to dashboard Cite

show abstract

“…With the integration of health care records to an electronic platform, it has become increasingly transparent for coders and insurers to determine E/M levels, highlighting the need for dedicated education during residency . Further research is needed to assess the impact of educational interventions.…”

Section: Association Between E/m Levels and Minimum Number Of Requirementioning

confidence: 99%

Impact of Early Educational Intervention on Coding for First‐year Emergency Medicine Residents

Bang

Bahl

2018

AEM Education and Training

View full text Add to dashboard Cite

show abstract

“…9 One curriculum utilized volunteer accrual and self-learning with self-evaluation as a means of education. 15…”

Section: Introductionmentioning

confidence: 99%

An Interactive Multimodality Curriculum Teaching Medicine Residents About Oncologic Documentation and Billing

et al. 2018

View full text Add to dashboard Cite

IntroductionPhysicians recognize the importance of clinical documentation for accuracy of coding and billing, but it is emphasized little in residency curricula, with an even smaller emphasis on oncology-specific documentation. We developed an educational curriculum to teach residents about clinical documentation for cancer patients. Our tool kit includes didactics, simulated history and physical (H&P) documentation, and personal feedback.MethodsA preintervention survey was first administered to gauge baseline knowledge. A simulated H&P was developed that required participants to complete their own assessment and plan. We delivered a 25-minute lecture regarding billing and coding along with documentation tips and tricks specific to hematology/oncology. Thereafter, we handed out a second H&P, and participants had to once again complete their own assessment and plan. These H&Ps were graded by three reviewers using a rubric. We then gave residents personalized feedback using the above data and administered a postintervention survey.ResultsThe postintervention survey revealed that 100% of the residents surveyed found this activity helpful, 83% noted that further knowledge of diagnosis codes was helpful to their learning, 100% noted that that this activity taught them to improve documentation, 91% said they were more likely to use cancer-specific diagnoses, and 91% said they would benefit from direct feedback-based education.DiscussionDidactic and formal education is more effective when combined with hands-on examples and direct personalized feedback.

show abstract

Improving Orthopedic Resident Knowledge of Documentation, Coding, and Medicare Fraud

Cited by 17 publications

References 12 publications

Trends in surgical treatment of femoral neck fractures in the elderly

Trends in surgical treatment of femoral neck fractures in the elderly

Impact of Early Educational Intervention on Coding for First‐year Emergency Medicine Residents

An Interactive Multimodality Curriculum Teaching Medicine Residents About Oncologic Documentation and Billing

Contact Info

Product

Resources

About