Determining benchmarks for evaluation and management coding in an academic division of general surgery

Journal of the American College of Surgeons
Paul C KuoRebecca A Schroeder

Abstract

Academic divisions of general surgery are facing ever-increasing financial pressures. Cost-cutting is a common approach to maintaining profitability, but strategies to increase revenue should not be ignored. One specific avenue for enhanced revenue generation in general surgery is that of coding for evaluation and management (E&M). Although this is the financial life-blood for many of the consultative services in departments of medicine, E&M coding is an often neglected and misunderstood component of surgical care. The financial records for the Division of General Surgery were reviewed for the period of January 2001 to June 2003. Specifically, charges and receipts for inpatient procedures and hospital visits (CPT codes 99231, 99232, and 99233) were determined. The analysis was limited to surgeons with a primary clinical focus based at the University hospital rather than the neighboring community or Veteran's Affairs hospitals. In addition, ICD-9 and All Patient Refined Diagnosis Related Groups (APR-DRG) data were analyzed to determine the surgeon-specific number of inpatients and inpatient-days with more than one ICD-9 code or secondary ICD-9 codes, or both, or an APR-DRG severity of illness score of 2, 3, or 4. These categorie...Continue Reading

Citations

May 17, 2006·Surgical Endoscopy·J M MortonL W Traverso
Jul 19, 2011·Thoracic Surgery Clinics·David T CookeJoshua A Broghammer
Jan 19, 2007·Plastic and Reconstructive Surgery·Jafar S HasanPaul A Taheri
Dec 31, 2005·The Journal of Trauma·Steve MoultonErwin Hirsch
Aug 20, 2011·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Dana P EdelsonDavid O Meltzer
Mar 31, 2006·Journal of the American College of Surgeons·Thomas J EspositoMichael D Pasquale

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