Trainee-initiated dictations of endocrine surgeries: Implications for education and reimbursement.

Autor: Chopyk DM; The Ohio State University Department of Surgery, 395 W 12th Avenue Room 670, Columbus, OH, 43210, USA. Electronic address: daniel.chopyk@osumc.edu., Wang TN; The Ohio State University Department of Surgery, 395 W 12th Avenue Room 670, Columbus, OH, 43210, USA. Electronic address: theresa.wang@osumc.edu., Weirich DE; Franklin University Department of Computing Sciences and Mathematics, 201 S. Grant Avenue, Columbus, OH, 43215, USA. Electronic address: weirich.david@gmail.com., Paras S; The Ohio State University College of Medicine, 370 W 9th Avenue, Columbus, OH, 43210, USA. Electronic address: stephanie.paras@osumc.edu., Miller BS; The Ohio State University Department of Surgery, 395 W 12th Avenue Room 670, Columbus, OH, 43210, USA. Electronic address: barbra.miller@osumc.edu., Phay JE; The Ohio State University Department of Surgery, 395 W 12th Avenue Room 670, Columbus, OH, 43210, USA. Electronic address: john.phay@osumc.edu., Sandhu G; University of Michigan Department of Surgery, 2101 Taubman Center, 1500 E. Medical Center Drive, Ann Arbor, MI, 48109, USA. Electronic address: gurjit@med.umich.edu., Huang E; The Ohio State University Department of Surgery, 395 W 12th Avenue Room 670, Columbus, OH, 43210, USA. Electronic address: emily.huang@osumc.edu., Dedhia PH; The Ohio State University Department of Surgery, 395 W 12th Avenue Room 670, Columbus, OH, 43210, USA. Electronic address: priya.dedhia@osumc.edu.
Jazyk: angličtina
Zdroj: American journal of surgery [Am J Surg] 2024 Aug 31, pp. 115947. Date of Electronic Publication: 2024 Aug 31.
DOI: 10.1016/j.amjsurg.2024.115947
Abstrakt: Introduction: Our university-based surgery department recently transitioned to attending-only authorship of operative reports. We performed a mixed-methods investigation to determine if trainee-initiated endocrine surgical reports were associated with under-coding of specific procedures.
Methods: Endocrine operations performed from July 2020 to June 2022 were identified from billing data. Pre- and post-policy RVU distributions and note modification history were reviewed to determine how often trainees captured billable differentiators over attending note modification.
Results: 714 operations and 1138 billed procedures were identified. Parathyroidectomy alone showed greater mean RVUs with attending-only reports attributable to attending practice change in coding for intraoperative parathyroid hormone monitoring. Trainees were more likely to miss coding modifier 22 but RVU losses were prevented by attending note modification.
Conclusion: Trainee-initiated operative reports were not associated with RVU losses for endocrine operations compared to attending-only reports. Trainee dictation can be improved by emphasizing education on procedural billing differences and surgical reasoning.
Competing Interests: Declaration of competing interest The authors report no proprietary or commercial interest in any product mentioned or concept discussed in this article.
(Copyright © 2024 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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