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ABSTRACT: Background
Approaches for teaching neurology documentation include didactic lectures, workshops, and face-to-face meetings. Few studies have assessed their effectiveness.Objective
To improve the quality of neurology resident documentation through payroll simulation.Methods
A documentation checklist was created based on Medicaid and Medicare evaluation and management (E/M) guidelines. In the preintervention phase, neurology follow-up clinic charts were reviewed over a 16-week period by evaluators blinded to the notes' authors. Current E/M level, ideal E/M level, and financial loss were calculated by the evaluators. Ideal E/M level was defined as the highest billable level based on the documented problems, alongside a supporting history and examination. We implemented
SUBMITTER: Liang JW
PROVIDER: S-EPMC5398143 | biostudies-literature | 2017 Apr
REPOSITORIES: biostudies-literature