2019 HSC Section 2 - Practice Management

6. Lusco VC, Martinez SA, Polk HC Jr. Program directors in surgery agree that residents should be formally trained in business and practice management. Am J Surg . 2005;189(1):11-13. 7. Howell J, Chisholm C, Clark A, Spillane L. Emer- gency medicine resident documentation: results of the 1999 american board of emergency medicine in- training examination survey. Acad Emerg Med . 2000;7(10):1135-1138. 8. Fakhry SM, Robinson L, Hendershot K, Reines HD. Surgical residents ’ knowledge of documentation and coding for professional services: an opportunity for a focused educational offering. Am J Surg . 2007;194(2): 263-267. 9. Ridky J, Bennett T. Training surgery residents in group practice management. Med Group Manage J . 1991;38 (5):38-39. 10. Holt J, Warsy A, Wright P. Medical decision making: guide to improved CPT coding. South Med J . 2010;103(4):316-322. 11. Levinson DR, General I. Coding Trends of Medicare Evaluation and Management Services . Department of Health and Human Services, Of fi ce of Inspector General; 2012. Available at: 〈 https://oig.hhs.gov/oei/ reports/oei-04-10-00180.pdf 〉 . Accessed 21.06.15. 12. Evans DV, Cawse-Lucas J, Ruiz DR, Allcut EA, Andrilla CH, Norris T. Family medicine resident billing and lost revenue: a regional cross-sectional study. Fam Med . 2015;47(3):175-181. 13. Gala RB, Chiang S. The impact of a documentation and coding curriculum in an obstetrics and gynecology continuity clinic. Ochsner J . 2012;12(4):354-358. 14. Kapa S, Beckman TJ, Cha SS, et al. A reliable billing method for internal medicine resident clinics: fi nancial implications for an academic medical center. J Grad Med Educ . 2010;2(2):181-187. 15. Skelly KS, Bergus GR. Does structured audit and feed- back improve the accuracy of residents ’ CPT E&M coding of clinic visits? Fam Med . 2010;42(9):648-652. 16. Maudsley RF. Service and education in postgraduate medical education: striking a proper balance. CMAJ . 1986;135(5):449. 17. Mabry CD. Surgical residents ’ knowledge of docu- mentation and coding for professional services: an opportunity for a focused educational offering. Am J Surg . 2007;194(2):268-269.

CONCLUSION This study demonstrates that simple interventions can result in better recognition of higher complexity patients, improved clinical documentation for evaluation and management, and generation of higher billing codes — all skills that are essential for residents ’ future practice. By educating residents on the foundations of documentation in an ambulatory setting, they learn to better integrate these elements into their patient encounters and bridge the gap between patient care and practice management. Although these skills may not appear to be immediately bene fi cial to residents, both good doc- umentation and appropriate billing — neither too high, nor too low — are invaluable to practicing physicians. 17

APPENDIX A. SUPPLEMENTARY MATERIAL

Supplementary data are available in the online version of this article at http://dx.doi.org/10.1016/j.jsurg.2016.08.011 .

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