Abstract
documentation in anticipation of future ICD-10 adoption. Standardized templates were then cross-mapped with corresponding procedure codes allowing auto-population upon dictation initiation. Results: Monthly coding addenda were reviewed preand poststandardized reporting template implementation. Preimplementation, the average number of monthly studies marked for review was 14.2 (range 1⁄4 3 – 31). During the four-month post-implementation period, the average number of monthly studies marked for review was 1.3 (range 1⁄4 0 – 2), a statistically significant reduction utilizing the unpaired t-test (p 1⁄4 0.004). Moreover, dictations marked for review utilizing the new reporting templates were subsequently analyzed and appropriate corrections made. Conclusions: Collaborative development of standardized reporting templates can dramatically reduce the number of required addenda thereby improving billing practices, staff workflow, and the quality and accuracy of interventional reporting. Ancillary benefits include the inclusion of relevant coding documentation for ICD-10 (laterality, chemoembolization history, etc.). Auto-population of common procedures also benefits new residents rotating through the division by providing a framework for each procedure and clearly delineating the necessary procedural information.
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