Billing and Coding Rounds: Turning Daily Encounters Into Dollars and Sense.

Introduction: While hospitalists dedicate substantial time to documentation, incomplete or inaccurate coding causes large, preventable revenue losses. Recent updates to evaluation and management guidelines allow visit level to be determined by either the complexity of medical decision-making or total clinician time, including documentation. However, limited training means physicians may underutilize these updates, contributing to financial shortfalls. Methods: A 5-part curriculum delivered in 15-minute virtual sessions over 6 months was designed to improve documentation, billing accuracy, and reimbursement without adding work for faculty. It combined brief didactics with interactive cases or "billing rounds," an electronic health record smart phrase, a concise reference "cheat sheet," and targeted feedback to the lowest performers. Pre- and postcurriculum surveys and billing data analysis measured changes in confidence and objective performance. Results: Fifty-six hospitalists participated (42.9% completed presurvey and 37.5% postsurvey). Respondents reported increased confidence in billing from pre- to postcurriculum. The proportion reporting Discussion: This curriculum led to gains in documentation quality and reimbursement, demonstrating that tightly targeted, workflow-embedded billing education can close key revenue-integrity gaps.