TY - JOUR
T1 - Implementation of a medical coding curriculum for surgery residents
AU - Kelley, Katherine A.
AU - Hoops, Heather E.
AU - Palmer, Laurene
AU - Cohen, Norman
AU - Brasel, Karen J.
N1 - Funding Information:
We would like to thank Laszlo Kiraly MD for his critical review of the manuscript and for closing the presentation of this study at the 2018 North Pacific Surgical Association annual meeting. We would also like to thank Daniel Herzig MD for his assistance with study design.
Publisher Copyright:
© 2019 Elsevier Inc.
PY - 2019/5
Y1 - 2019/5
N2 - Background: Medical coding knowledge is important for practice. We hypothesized that general surgery residents lack confidence in medical coding (MC) and that implementation of focused didactics would increase resident confidence and knowledge. Methods: A MC curriculum was delivered to general surgery residents covering domains of the global procedural period (GPP), evaluation and management (E/M) coding, and hospital payment and quality metrics (HPQM). A 21-question survey was developed to assess resident comfort coding knowledge. Efficacy of the MC curriculum was measured by anonymous paper pre-test and post-test surveys. Results: Pre-test (n = 50) findings revealed that residents were uncomfortable with MC. Following three MC lectures, the post-test (n = 24) demonstrated significant increases in resident comfort with MC (p < 0.001) and resident performance on domains of GPP (p = 0.014), E/M (p < 0.001), and HQPM (p = 0.025). Conclusions: Residents feel uncomfortable with MC without formal education. This study supports a focused curriculum to prepare residents for practice.
AB - Background: Medical coding knowledge is important for practice. We hypothesized that general surgery residents lack confidence in medical coding (MC) and that implementation of focused didactics would increase resident confidence and knowledge. Methods: A MC curriculum was delivered to general surgery residents covering domains of the global procedural period (GPP), evaluation and management (E/M) coding, and hospital payment and quality metrics (HPQM). A 21-question survey was developed to assess resident comfort coding knowledge. Efficacy of the MC curriculum was measured by anonymous paper pre-test and post-test surveys. Results: Pre-test (n = 50) findings revealed that residents were uncomfortable with MC. Following three MC lectures, the post-test (n = 24) demonstrated significant increases in resident comfort with MC (p < 0.001) and resident performance on domains of GPP (p = 0.014), E/M (p < 0.001), and HQPM (p = 0.025). Conclusions: Residents feel uncomfortable with MC without formal education. This study supports a focused curriculum to prepare residents for practice.
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U2 - 10.1016/j.amjsurg.2019.02.027
DO - 10.1016/j.amjsurg.2019.02.027
M3 - Article
C2 - 30879797
AN - SCOPUS:85063062106
SN - 0002-9610
VL - 217
SP - 834
EP - 838
JO - American Journal of Surgery
JF - American Journal of Surgery
IS - 5
ER -