The authors took this message seriously and created a system to explore and satisfy these recommendations. Through the repository, educators had the opportunity to monitor reimbursement. UPMC education and billing staff members collaborated and reviewed monthly report to determine payment practices. As reported by others, in addition to external reimbursement difficulties, numerous internal problems were identified throughout the system that precluded reimbursement. Education charges based on Health Care Common Procedure Coding System codes were inaccurately entered, recognition certificates were missing, and charge-entry staff neglected to enter charges. Once these problems were identified, internal efforts to correct the problems and capture reimbursement were implemented.