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2016 Gastroenterology Reimbursement and Coding Update

December 12-13, 2015

Designed to increase your practice proficiencies in coding and reimbursement, the 2016 Gastroenterology Coding and Reimbursement Update course will help you prepare for 2016 GI endoscopy reimbursement changes. Expert faculty will show you how to continue operating as a high-performing business by sustaining your practice’s bottom line through efficient medical coding, payer contracting, endoscopy billing, and other topics and issues related to GI physician and facility reimbursement. This course will provide you with the critical information you need to know about CMS’ transition from a payment system based on fee-for-service to payment systems that assess physician performance and include alternative payment models for GI services. You and your team will receive the help you need to enhance your ability to manage your practice in this changing paradigm in GI practice management through use of new payment delivery models, accurate billing, coding, contracting and revenue cycle management.


Glenn Littenberg"2016 delivers major changes in endoscopy coding and reimbursement that were delayed a year, with cuts in colonoscopy fees and implementation of ICD-10. The SGR repeal bill spells out the major new directions in reimbursement for the next 10 years! Your practice CAN”T AFFORD to NOT be current on these changes, so join us for our 2016 Gastroenterology Reimbursement and Coding Update!"

Glenn D. Littenberg, MD
Southern California Gastroenterology Associates
Pasadena, California


Kathleen Mueller “Are you ready for 2016? The impact to the Medicare fee schedule for lower endoscopy procedures is significant.  Since commercial fee schedules are often paid according to the Medicare fee schedule,  this will also directly impact your bottom line.  Make sure that you are up to date with all of the changes, are working efficiently, documenting to the highest level of specificity and capturing all billable procedures.   There are so many changes impacting GI practices that you can't afford not to attend!

Kathleen A. Mueller, RN, CPC, CCS-P, CMSCS, CGCS, CCC, PCS
AskMueller Consulting, LLC
Lenzburg, Illinois


Learning Objectives

Upon completion of this educational activity, you will be able to:

  • Implement all CPT changes affecting gastroenterology practice in 2016, become familiar with all new, revised and deleted codes for 2016 and review questions regarding 2015 code changes
  • Resolve implementation challenges for all gastroenterology-specific changes for the ICD-9 to ICD-10 transition
  • Understand CMS’ timeline for implementation of the Medicare Merit-based Incentive Payment System (MIPS)
  • Discuss emerging alternative payment models for GI practices that will eventually replace the current fee-for-service model
  • Discuss, evaluate and analyze GI payer contracts. Understand the evaluation of payer rules, policies and obligations for your specific medical practice
  • Discuss and understand the documentation requirements for Evaluation and Management Services, including proper leveling, “split shared” and “incident to” policies and time-based billing
  • Evaluate and resolve specific coding issues regarding GI practice such as colonoscopy screening coding issues, determining average-risk versus high-risk patients and screening versus diagnostic procedures and multiple endoscopy billing
  • Discuss and understand the importance of compliance plans and the roles of Recovery Audit Contractor (RAC) audits, Zone Program Integrity Contractor (ZPIC) audits, Office of the Inspector General (OIG) and other government-sponsored billing and coding audit programs
  • Implement coding strategies for new and emergent GI technology. Learn how to code for these technologies
  • Implement GI billing and coding procedures regarding ancillary practices, such as pathology and anesthesia services, as well as new evaluation and management services, i.e., transitional care, chronic care coordination codes, telephone and online services and nutritional services


Target Audience

Practicing gastrointestinal endoscopists and surgeons, coding and billing professionals, practice managers and practice professionals involved with the business management of a GI medical practice.

Course Agenda

Trifecta reimbursement agenda


Practical Solutions for the GI Practice