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Program

Obstetrics and Gynecology

Training Level

Resident PGY 4

Institution

Henry Ford Hospital

Abstract

Purpose: Evaluate the impact of one-on-one education of residents in billing and coding. Background: Our program changed billing and coding education from generalized education at didactics to more intensive one-on-one education. The revenue team evaluated the impact of this intervention for accuracy in billing and monetary impact.Methods: Three groups of residents were analyzed. Group 1 (n=4) were fourth year residents at intervention and had a general meeting with other departments about coding and then one or two one-on-one sessions. Group 2 (n=4) were third year residents at intervention and had two to three one-on-one sessions. Group 3 (n=4) were second year residents at intervention and had three consistent one-on-one sessions every 6 months. A selection of 10 records per resident were randomly selected for review by a certified coder to identify documentation and coding opportunities. Results: The documentation and coding accuracy improved with increased education. Accuracy Group 1: 55%, Group 2: 76%, Group 3: 89%. Revenue lift was also analyzed with these encounters and an average lift of ~$40 was noted between group 1 and group 3. Discussion: By consistent billing and coding one-on-one education for residents, the accuracy of coding improved as seen in the differences in accuracy rate between graduating 4th years (55%) and second year residents (89%). The accuracy improvement correlated to increased revenue. Residents see 5 patients on average per clinic session in their final 2 years and have approximately 30 clinics per year. This equates to an extra $12,000 in revenue per resident over their final two years. By investing in billing and coding education, accuracy and revenue were increased.

Publication Date

5-2019

Resident documentation and coding curriculum can be improved through one-on-one education

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