Evidence map›Paper›PMID 39561976›Full record

ArticleApplied clinical informatics2025

Optimizing Resident Charge Capture with Disappearing Help Text in Note Templates.

Taylor B Martin, Douglas S Bell, Jeffrey A Gornbein, Paul J Lukac

Abstract read
In one paragraph

Article in Applied clinical informatics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Taylor B MartinDivision of Medicine-Pediatrics, Department of Medicine, UCLA Health System, Los Angeles, California, United States.
Douglas S BellDepartment of Medicine, UCLA Health System, Los Angeles, California, United States.
Jeffrey A GornbeinDepartment of Computational Medicine, UCLA, Los Angeles, California, United States.
Paul J LukacDepartment of Pediatrics, UCLA Health System, Los Angeles, California, United States.ORCID 0000-0002-3315-6613

Funding

NRSA Training CoreTL1TR001883 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ALEX BUI, Nina Thawata Harawa · 2016 to 2026
$8.6M
NCATS NIH HHS TL1 TR001883
6 · The paper itself

Abstract

objectiveThis study aimed to assist residents in selecting the correct Current Procedural Terminology (CPT) code for evaluation and management (E/M) services through the addition of disappearing help text into a standardized note template.

methodsWe created a disappearing text block that summarizes E/M requirements and embedded it into the note template used by residents at a pediatric urgent care clinic. An intervention cohort composed of postgraduate year 1 (PGY 1) residents was instructed to use this note template, while senior residents (PGY 2-3) were instructed to use an identical template that lacked the help text. We evaluated the incidence of CPT change by the attending physician for each visit as a proxy for improvement in resident billing practices. Logistic regression with a primary outcome of whether the encounter CPT code was changed was completed.

resultsThere were 2,869 encounters during the 255-day study period; the help text was used in 1,112 (38.8%) encounters. There was some crossover in note use; that is, PGY 1s used the note

conclusionResidents' use of the disappearing help text was associated with a large decrease in CPT code adjustment by attending physicians, which demonstrates its promise for improved E/M coding and other applications.

Indexed as

Internship and ResidencyCurrent Procedural TerminologyHumans

Identifiers

PMID39561976
PMCPMC11945210

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.