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Billing Implications of Emergency Medicine Resident Physicians’ Laceration Length Estimates

CONTEXT: Lacerations are a common occurrence in urgent care and emergency room settings. The types of lacerations repaired in these settings range from superficial and linear to deep and stellate. Healthcare professionals are required to describe these wounds in documentation and part of that descri...

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Autores principales: Sherer, Joseph, Caloia, Roya, Corser, William D., Tishkowski, Kevin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MSU College of Osteopathic Medicine Statewide Campus System 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7746101/
https://www.ncbi.nlm.nih.gov/pubmed/33655098
http://dx.doi.org/10.51894/001c.5065
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author Sherer, Joseph
Caloia, Roya
Corser, William D.
Tishkowski, Kevin
author_facet Sherer, Joseph
Caloia, Roya
Corser, William D.
Tishkowski, Kevin
author_sort Sherer, Joseph
collection PubMed
description CONTEXT: Lacerations are a common occurrence in urgent care and emergency room settings. The types of lacerations repaired in these settings range from superficial and linear to deep and stellate. Healthcare professionals are required to describe these wounds in documentation and part of that description is length. In a busy clinical setting, many providers use a visual estimation of wound length for documentation. The purpose of this exploratory pilot study was to systematically examine the factors (e.g., sex, residency year, prior laceration training) associated with overall accuracy of five laceration length estimates made on a series of five identically-marked linear dummy torso sutured lacerations by a convenience sample of Emergency Medicine (EM) resident physicians. Before the study, the authors hypothesized that laceration estimates from later-year residents and/or those with more prior laceration training would be more accurate. METHODS: The EM residents who attended a statewide educational session were encouraged to participate in the study by independently entering information concerning their a) personal characteristics, and b) five laceration length estimates from five dummy torso sutured lacerations onto hard copy forms during break and lunch periods of the daylong conference. The use of any types of measurement devices was prohibited. RESULTS: A total non-probability convenience sample of 107 participants (93 EM resident physicians and 14 medical student attendees) from 14 different Michigan-based EM residency programs completed a 10-item survey during the educational conference. Results for both composite and individual actual-to-estimated (AE) laceration differences varied widely within the sample, with up to 58.9% of laceration over estimates hypothetically having resulted in overbilling of payers for the laceration repair. CONCLUSIONS: The considerable range in laceration estimates obtained from these EM clinicians indicate the complexity of attempting to estimate lacerations without measuring devices, as well as the potential for over-billing under such conditions. Larger resident samples recording laceration length estimates, with testing of potential interaction effects on AE patterns, are needed in the future to provide additional evidence concerning this aspect of EM billing.
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spelling pubmed-77461012021-03-01 Billing Implications of Emergency Medicine Resident Physicians’ Laceration Length Estimates Sherer, Joseph Caloia, Roya Corser, William D. Tishkowski, Kevin Spartan Med Res J Brief Report CONTEXT: Lacerations are a common occurrence in urgent care and emergency room settings. The types of lacerations repaired in these settings range from superficial and linear to deep and stellate. Healthcare professionals are required to describe these wounds in documentation and part of that description is length. In a busy clinical setting, many providers use a visual estimation of wound length for documentation. The purpose of this exploratory pilot study was to systematically examine the factors (e.g., sex, residency year, prior laceration training) associated with overall accuracy of five laceration length estimates made on a series of five identically-marked linear dummy torso sutured lacerations by a convenience sample of Emergency Medicine (EM) resident physicians. Before the study, the authors hypothesized that laceration estimates from later-year residents and/or those with more prior laceration training would be more accurate. METHODS: The EM residents who attended a statewide educational session were encouraged to participate in the study by independently entering information concerning their a) personal characteristics, and b) five laceration length estimates from five dummy torso sutured lacerations onto hard copy forms during break and lunch periods of the daylong conference. The use of any types of measurement devices was prohibited. RESULTS: A total non-probability convenience sample of 107 participants (93 EM resident physicians and 14 medical student attendees) from 14 different Michigan-based EM residency programs completed a 10-item survey during the educational conference. Results for both composite and individual actual-to-estimated (AE) laceration differences varied widely within the sample, with up to 58.9% of laceration over estimates hypothetically having resulted in overbilling of payers for the laceration repair. CONCLUSIONS: The considerable range in laceration estimates obtained from these EM clinicians indicate the complexity of attempting to estimate lacerations without measuring devices, as well as the potential for over-billing under such conditions. Larger resident samples recording laceration length estimates, with testing of potential interaction effects on AE patterns, are needed in the future to provide additional evidence concerning this aspect of EM billing. MSU College of Osteopathic Medicine Statewide Campus System 2016-10-24 /pmc/articles/PMC7746101/ /pubmed/33655098 http://dx.doi.org/10.51894/001c.5065 Text en https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (4.0) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Brief Report
Sherer, Joseph
Caloia, Roya
Corser, William D.
Tishkowski, Kevin
Billing Implications of Emergency Medicine Resident Physicians’ Laceration Length Estimates
title Billing Implications of Emergency Medicine Resident Physicians’ Laceration Length Estimates
title_full Billing Implications of Emergency Medicine Resident Physicians’ Laceration Length Estimates
title_fullStr Billing Implications of Emergency Medicine Resident Physicians’ Laceration Length Estimates
title_full_unstemmed Billing Implications of Emergency Medicine Resident Physicians’ Laceration Length Estimates
title_short Billing Implications of Emergency Medicine Resident Physicians’ Laceration Length Estimates
title_sort billing implications of emergency medicine resident physicians’ laceration length estimates
topic Brief Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7746101/
https://www.ncbi.nlm.nih.gov/pubmed/33655098
http://dx.doi.org/10.51894/001c.5065
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