2.50
Hdl Handle:
http://hdl.handle.net/10755/161371
Type:
Presentation
Title:
Assessment of Coding Patterns at Academic Nurse-Managed Centers
Abstract:
Assessment of Coding Patterns at Academic Nurse-Managed Centers
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2004
Author:Vonderheid, Susan, PhD, RN
Title:Research Assistant Professor
Contact Address:CON, M/C 802 - Room 846, 845 South Damen Avenue, Chicago, IL, 60612, USA
Co-Authors:Joanne Pohl, CS, PhD, FAAN, Associate Dean for Community Partnership; Nancy George, MS, RN, CS, Doctoral Student; Elaine McIntosh, MSN, RB, CS, Director of Nursing Centers; Patricia Schafer, PhD, RN, Associate Dean-Community & Clinical Services; Patricia
Little is known about the coding practices of practitioners delivering primary care at Academic Nurse-Managed Centers (ANMCs). Assessment of coding patterns is important to ensure that coding accurately represents ANMCs in databases at the practice, state and national levels. Equally important, accurate coding influences reimbursement and reflects level of adherence to coding federal guidelines. Purpose: The purpose of this study is to compare coding practices across five ANMCs delivering primary care and with national family practice physician data. Subjects: As part of a Consortium of ANMCs, five centers across a midwestern state participated. Centers provided a full range of primary care services and the majority of centers also offered health education classes, screening, and counseling. Centers provided between 1,600 to 7,000 visits and reported between 1,700 to 14,000 CPT codes in 2001. Method: Using a standardized form, centers collected CPT code data and other financial data for calendar year 2001. Frequency distributions of CPT codes were compared across ANMCs and with family practice physician data from the Centers for Medicare and Medicaid Services Part B services database for calendar year 2001. Evaluation and Management (E&M) codes were the primary foci. Results: At all five ANMCs, distributions of new patient office visit codes were shifted to the left. Distributions of established patient office visit codes were shifted to the left at three centers and formed a normal bell shaped curve at two centers. Compared to family practice data, new patient data at all five ANMCs’ and established patient data at three ANMCs were suggestive of undercoding. Two ANMCs had established patient data similar to national findings. Across centers E&M codes comprised 41% to 93% of all CPT codes. Discussion/Conclusion: Reasons for variations among centers and with national data are described and implications for education, practice, administration and policy are discussed.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleAssessment of Coding Patterns at Academic Nurse-Managed Centersen_GB
dc.identifier.urihttp://hdl.handle.net/10755/161371-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Assessment of Coding Patterns at Academic Nurse-Managed Centers </td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Vonderheid, Susan, PhD, RN</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Research Assistant Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">CON, M/C 802 - Room 846, 845 South Damen Avenue, Chicago, IL, 60612, USA</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Joanne Pohl, CS, PhD, FAAN, Associate Dean for Community Partnership; Nancy George, MS, RN, CS, Doctoral Student; Elaine McIntosh, MSN, RB, CS, Director of Nursing Centers; Patricia Schafer, PhD, RN, Associate Dean-Community &amp; Clinical Services; Patricia </td></tr><tr><td colspan="2" class="item-abstract">Little is known about the coding practices of practitioners delivering primary care at Academic Nurse-Managed Centers (ANMCs). Assessment of coding patterns is important to ensure that coding accurately represents ANMCs in databases at the practice, state and national levels. Equally important, accurate coding influences reimbursement and reflects level of adherence to coding federal guidelines. Purpose: The purpose of this study is to compare coding practices across five ANMCs delivering primary care and with national family practice physician data. Subjects: As part of a Consortium of ANMCs, five centers across a midwestern state participated. Centers provided a full range of primary care services and the majority of centers also offered health education classes, screening, and counseling. Centers provided between 1,600 to 7,000 visits and reported between 1,700 to 14,000 CPT codes in 2001. Method: Using a standardized form, centers collected CPT code data and other financial data for calendar year 2001. Frequency distributions of CPT codes were compared across ANMCs and with family practice physician data from the Centers for Medicare and Medicaid Services Part B services database for calendar year 2001. Evaluation and Management (E&amp;M) codes were the primary foci. Results: At all five ANMCs, distributions of new patient office visit codes were shifted to the left. Distributions of established patient office visit codes were shifted to the left at three centers and formed a normal bell shaped curve at two centers. Compared to family practice data, new patient data at all five ANMCs&rsquo; and established patient data at three ANMCs were suggestive of undercoding. Two ANMCs had established patient data similar to national findings. Across centers E&amp;M codes comprised 41% to 93% of all CPT codes. Discussion/Conclusion: Reasons for variations among centers and with national data are described and implications for education, practice, administration and policy are discussed. </td></tr></table>en_GB
dc.date.available2011-10-26T23:20:17Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:20:17Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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