Assessing the Value of Professional Coders in Ambulatory Healthcare Systems

Abstract

Information derived from accurate, current, and complete patient encounter data is an invaluable resource for health care organizations today. Used to support many critical decision-making processes, organizations must strive to produce the highest-quality encounter data possible. This study examines the value of employing certified professional coders to collect encounter data. A comparison of two coding scenarios was conducted: coding completed by health care providers and coding completed by professional coders. Samples of Evaluation and Management codes applied by providers and coders were categorized into frequency distributions and the average standard deviations of these distributions were compared. As much less variation was found among the group of professional coders, it was concluded that they produced more reliable results and, therefore, improved coding data quality. In addition to this comparison, two previous studies that assessed the value of coders in ambulatory health care systems are included. These studies indicate that professional coders produce significant improvements in coding data quality.

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Document Details

Document Type
Technical Report
Publication Date
Jun 01, 2002
Accession Number
ADA420997

Entities

People

  • Edward W. Drish

Organizations

  • Academy of Health Sciences

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Administrative Personnel
  • Air Force Facilities
  • Computer Programs
  • Computers
  • Delivery Of Health Care
  • Employment
  • Health Care
  • Health Services
  • Law
  • Medical Personnel
  • Patient Care Management
  • Personnel Management
  • Reliability
  • Standards
  • Statistical Analysis
  • Statistics
  • Test And Evaluation

Readers

  • Medical or Health Care Field.
  • Systems Analysis and Design