NCT04538196|Withdrawn
Study Stopped
Study staffing constraints
Coding Improvement Project: Resident Education on Documentation
DER
Coding and Documentation Education for General Surgery Residents
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Sponsor study identifier
interventional
0
1 country
1
Study Start
April 14, 2015
Actual (reported)Primary Completion
September 1, 2020
Estimated (date passed)This estimate has passed. The registry has not confirmed an actual date for this milestone.
Study Completion
December 1, 2020
Estimated (date passed)This estimate has passed. The registry has not confirmed an actual date for this milestone.
Most General Surgery program directors have expressed the necessity to educate residents on the business aspect of medicine. However, the literature review did not produce any interventional studies directly addressing coding and documentation in General Surgery Residents. The purpose of this study is to address specific coding and documentation mistakes as identified by surgery coding analysts in the surgical department. Through this examination, we hope to provide residents with the necessary tools and framework for adequate documentation throughout their surgical careers.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
December 1, 2020
Estimated (date passed)This estimate has passed. The registry has not confirmed an actual date for this milestone.
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Some registry-reported names shown below are not yet linked in this graph.
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
April 14, 2015
Actual (reported)March 16, 2020
Actual (reported)September 1, 2020
Estimated (date passed)This estimate has passed. The registry has not confirmed an actual date for this milestone.
September 4, 2020
Actual (reported)December 1, 2020
Estimated (date passed)This estimate has passed. The registry has not confirmed an actual date for this milestone.
Coding Analyst Quota
the number of charts translated into ICD-9 and CPT codes per day
up to 72 weeks
Coding Analyst Satisfaction
This will be assessed by administering the Maslach Burnout inventory validated survey
up to 72 weeks
Relative Value Unit
up to 72 weeks
Diagnosis Related Groups
up to 72 weeks
Resident self-efficacy
up to 36 weeks
Invervention: Resident who receives education on documentation and coding at the beginning of the surgical rotation
Resident who does not receive information on documentation and coding at the beginning of the surgical rotation
Surgery residents will receive education on documentation and coding at the beginning of a particular surgical rotation vs the control group who will receive no education on documentation
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Baylor College of Medicine
Houston, Texas, 77030, United States
Yount KW, Reames BN, Kensinger CD, Boeck MA, Thompson PW, Forrester JD, Upchurch GR Jr, Gauger PG, Kron IL, Lau CL. Resident awareness of documentation requirements and reimbursement: a multi-institutional survey. Ann Thorac Surg. 2014 Mar;97(3):858-64; discussion 864. doi: 10.1016/j.athoracsur.2013.09.100. Epub 2013 Dec 4.
Fakhry SM. Billing, coding, and documentation in the critical care environment. Surg Clin North Am. 2000 Jun;80(3):1067-83. doi: 10.1016/s0039-6109(05)70114-6.
Panagiotis Kougias, MD
Baylor College of Medicine
0 participants (actual enrollment reported by the registry).
First Submitted
March 16, 2020
First Posted
September 4, 2020
Study Start
April 14, 2015
Actual (reported)Stress Evaluation and Management Using High Fidelity Simulation in Medical Education
Contact the study team to confirm eligibility.
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 Aug;194(2):263-7. doi: 10.1016/j.amjsurg.2006.11.031.
Benke JR, Lin SY, Ishman SL. Directed educational training improves coding and billing skills for residents. Int J Pediatr Otorhinolaryngol. 2013 Mar;77(3):399-401. doi: 10.1016/j.ijporl.2012.11.039. Epub 2012 Dec 29.
Russo R, Fitzgerald SP, Eveland JD, Fuchs BD, Redmon DP. Improving physician clinical documentation quality: evaluating two self-efficacy-based training programs. Health Care Manage Rev. 2013 Jan-Mar;38(1):29-39. doi: 10.1097/HMR.0b013e31824c4c61.
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 Jan;189(1):11-3. doi: 10.1016/j.amjsurg.2004.05.002.
Primary Completion
September 1, 2020
Estimated (date passed)This estimate has passed. The registry has not confirmed an actual date for this milestone.
Study Completion
December 1, 2020
Estimated (date passed)This estimate has passed. The registry has not confirmed an actual date for this milestone.
Last Updated
September 4, 2020
Record last verified: 2020-08
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Source: ClinicalTrials.gov.
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