Ambulatory Procedure Unit Coder Integration

摘要

The purpose of this study is to accurately depict the relationship between a decentralized coding design within the National Naval Medical Center's Ambulatory Procedure Unit, coding completion ratings, and productivity. This retrospective analysis of data from the Military Health System's automated data systems compares a centralized coding design (CY 2003) and a decentralized coding design (CY 2004) in which a coder was integrated within the clinic. Decentralized coding resulted in increased coding completion rates, productivity, and a higher average of relative value units (RVU) per ambulatory procedure visit. Recommendations include altering the current contract to support a decentralized coding design in the APU, conducting further studies in similar outpatient clinics, and ensuring timely and customized education for coders and clinic staff.