2015 Medicare Pay Rules Delay Cuts to Lower GI Codes

On October 31, 2014, CMS issued the final rule for physician reimbursement under Medicare for 2015, delaying its valuation of lower GI codes until 2016.

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Cutting the Wrong Test at the Wrong Time

The Presidents of ACG, AGA, and ASGE outline the meaningful and measurable progress made against colorectal cancer and the impact of potential cuts to reimbursement in a recent Kevin MD  article.

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GI Societies Respond to CMS Proposed Rule

The gastroenterology societies are encouraged by CMS’ step toward ensuring a more open rate-setting process; however, the proposed rule does not address critical codes under current review, including colonoscopy.

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Medicare Cost Breakdown for Colonoscopy

Medicare reimbursement rates for colonoscopy should accurately reflect its value. Learn more about the distribution for the cost of a colonoscopy.

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Cancer screenings: Don’t be afraid

Check out this article on TheHill.com that discusses the importance of cancer screenings, including colonoscopy.

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Call for Transparency

The House of Delegates of the American Medical Association (AMA) has passed a resolution introduced by ASGE, ACG and AGA calling for more transparency, participation and accountability in CMS’ payment determination process.

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A Patient’s Role in Ensuring High Quality Colonoscopy

Gastroenterologist Douglas K Rex, M.D. wrote an article for KevinMD on how patients can play a more active role in ensuring safe, high-quality colonoscopy.

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Colonoscopy Can Prevent Cancer

Colonoscopy is the only screening test that examines the entire colon and can actually prevent cancer by removing precancerous polyps during the procedure.

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Expertise for Complex, Life-Saving Care

Gastroenterologists receive training for three or more years, including specialized training in endoscopy, preparing them to perform complex medical procedures such as colonoscopies.

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Progress and Challenges in Reducing Colorectal Cancer

Assistant Secretary for Health Dr. Howard Koh and a team of gastroenterologists urged members of Congress for renewed emphasis on colorectal cancer screening.

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Value of Colonoscopy

Saving Lives Through Expert Care

Thanks to colonoscopy screening – which can prevent colorectal cancer by removing precancerous polyps – fewer people than ever before are developing or dying from colorectal cancer.

The procedure is also saving the U.S. healthcare system billions of dollars. The cost of treating advanced colorectal cancer is considerable: more than $250,000 per patient. In a study completed for the National Colorectal Cancer Roundtable, experts found that the colonoscopy screening model translates into Medicare savings of $15 billion.

While impressive progress has been made in the area of colorectal cancer screening, much still remains to be done. Of the more than 50,000 people who died of colorectal cancer in 2013, screening could have saved more than half of them. 

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