Office Based Coding 101: It's a No Brainer

Abstract

OPEN ACCESSJuly 19, 2011Office Based Coding 101: It's a No Brainer Deborah Miller, Katherine Clark, DO, Philip Whitecar, MD, Jennifer Hawkins, MD Deborah Miller Wright State University Boonshoft School of Medicine Google Scholar More articles by this author , Katherine Clark, DO Wright State University Boonshoft School of Medicine Google Scholar More articles by this author , Philip Whitecar, MD Wright State University Boonshoft School of Medicine Google Scholar More articles by this author , Jennifer Hawkins, MD Wright State University Boonshoft School of Medicine Google Scholar More articles by this author https://doi.org/10.15766/mep_2374-8265.8438 SectionsAbout ToolsDownload Citations ShareFacebookTwitterEmail AbstractAbstractThis comprehensive training program is designed to introduce and enhance the evaluation and management of current procedural terminology coding skills for the office setting. The use of color, imagery, and small group learning aid retention of the information presented. The program stresses level of service code selection based on medical decision making. A unique color-coded audit form is used to maximize the visual learning experience. A PowerPoint presentation and 12 weekly maintenance-of-skills scenarios are additional teaching methods. The workshop is designed to be completed in 90 minutes. On the day of the workshop they complete a preintervention evaluation and a 10 item pretest. They are then divided into groups of five and given several copies of the color coded audit sheet to be used during the presentation and discussion. The PowerPoint slides aid in describing of the necessity to code properly and the elements that comprise the 99212–99215 and 99202–99205 levels of service. Interspersed are pretest questions. Groups are asked to discuss the level of service designation and reach consensus for each case scenario as they appear in the presentation. At the conclusion of the module, a 10 item posttest is administered and participants are asked to complete a program evaluation. Following the workshop learners receive a weekly maintenance of skills scenario by email. Evaluation is based on posttest performance. This coding workshop was developed as part of a Master's in Academic Medicine degree requirement at Wright State University Boonshoft School of Medicine. The workshop was presented to a group of Family Medicine residents. Pre- and posttest assessments were made around the workshop and at the end of 12 weeks. No significant improvement in ability to choose correct level of service was detected for the group, but participation was low despite incentives. Those individuals that participated in the maintenance of skills segment regularly showed statistical improvement in post-posttest scores. The color coded audit sheet is the product of over 10 years of modifications by all the authors. Educational Objectives By the end of this module, the learner will be able to: Understand the process of current procedural terminology (CPT) coding in the office.Apply CPT office-based coding principles using example cases.Explain CPT level of service selected for case scenarios. Sign up for the latest publications from MedEdPORTAL Add your email below FILES INCLUDEDReferencesRelatedDetails FILES INCLUDED Included in this publication: Instructor's Guide coding101.doc OFFICE CHART AUDIT FORM.doc Coding exercises answers.doc Coding Tests.doc Curriculum for coding intervention.doc Evaluations - survey.xls Office Based Coding.ppt To view all publication components, extract (i.e., unzip) them from the downloaded .zip file. Download editor’s noteThis publication may contain technology or a display format that is no longer in use. Copyright & Permissions© 2011 Miller et al. This is an open-access publication distributed under the terms of the Creative Commons Attribution-NonCommercial-Share Alike license.KeywordsEvaluation and ManagementChartsCodingCPTCurrent Procedural Terminology Disclosures None to report. Funding/Support None to report. Prior Presentations Miller, DE. An innovative CPT coding intervention to promote learning and retention of skills. Presented at: Innovations in Medical Education, University of Southern California, Keck School of Medicine; March 2009; Pasadena, California. Loading ...