Transactions for the 2005 Council on Resident Education in Obstetrics and Gynecology and The Association of Professors of Gynecology and Obstetrics Annual MeetingDevelopment and assessment of a Web-based evaluation and management coding curriculum for residents
Section snippets
Material and methods
The study population consisted of obstetrics and gynecology residents at the Medical College of Wisconsin Affiliated Hospitals. Residents were assigned an electronic online teaching module on the topic of E&M coding and documentation in the outpatient setting. The author and the departmental professional billing staff composed the learning module. It was conducted using the ANGEL electronic course management system (CyberLearning Labs, Indianapolis, IN) that is in use at the Medical College of
Results
Twenty-one residents completed the online module. Of these, 19 consented to have their data used for analysis. The mean score on the pretest was 44.2% (range 10% to 70%) using percent correct scoring and 513.44 (range 274.00 to 620.89) using point scoring. The mean score on the posttest was 45.3% using percent correct scoring and 555.87 (range 409.74 to 633.36) using point scoring . Only 47.4% of residents (9 of 19) improved their performance after completion of the module when assessed by
Comment
Understanding proper coding and documentation helps to develop practice habits that save time, ensure proper reimbursement, and protect both from fraud allegations and medical malpractice claims. To the practicing physician, the importance of understanding E&M coding and documentation is obvious. Despite its importance, physicians commonly report insecurity in their own competence in this area. The literature bears this out, showing marked discrepancies between levels of service coded versus
Acknowledgment
I thank Donna Kroening, CCS, for her invaluable help in the preparation of the E&M coding module as well as William Herbert, MD, and the rest of the faculty of the Association of Professors of Gynecology and Obstetrics/Solvay Educational Scholars Development Program for substantive guidance and advice.
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