内分泌手术的实习生发言:对教育和补偿的影响
Daniel M Chopyk1, Theresa N Wang1, David E Weirich2
1The Ohio State University Department of Surgery, 395 W 12th Avenue Room 670, Columbus, OH, 43210, USA.
实习生发起的内分泌手术报告没有导致收入损失. 在医生看病的医生.
科学领域:
- 外科手术计费和编码实践.
- 医疗保健管理和收入循环管理
背景情况:
- 过渡到仅参加在大学外科部门的手术报告的作者.
- 在政策变更后的实习生发起的内分泌外科报告中调查潜在的不足编码.
研究的目的:
- 确定实习生发起的内分泌外科报告是否与程序的低编码有关.
- 分析仅出席的作者对计费和收入的影响.
主要方法:
- 内分泌手术的混合方法调查 (2020年7月-2022年6月).
- 对政策前后相对价值单位 (RVU) 分布的审查.
- 对操作笔记修改历史的分析,以评估实习生对可计费差异因素的捕获.
主要成果:
- 分析了714个操作和1138个程序.
- 副甲状腺切除术RVUs较高,由于手术内监测编码,仅参加报告.
- 训练员更容易错过修改器22,但参加编辑减轻了RVU损失.
结论:
- 实习生发起的报告没有导致内分泌手术的RVU损失.
- 教育重点是程序计费和外科推理,可以增强学员的 dikta.
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