The Basics of Documentation, Coding and Billing for Residents
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One of the biggest obstacles in the transition from residency to a position as an attending surgeon is the business side of the medical field. Very little emphasis in residency training is placed on teaching the young physician the necessary skills and the rationale for good documentation, coding and billing. This sequence involves proper documentation of a service rendered to a patient, which is then translated into a numerical code used to generate a bill that will ultimately pay for the services rendered.
Hendershot, K. M.,
& Fakhry, S.
(2005). The Basics of Documentation, Coding and Billing for Residents. General Surgery News, 32 (8).