Released on Nov 18, 2020

ASGE Endorses Legislation to Stop Payment Cuts

The ASGE has endorsed legislation that would stop scheduled payment reductions to physicians.

Pending changes in the Medicare Physician Fee Schedule include payment increases to physicians delivering primary and complex office-based care.  A statutory budget neutrality rule requires increases in Medicare payments for these evaluation and management (E/M) services be offset by corresponding decreases.

The bipartisan “Holding Providers Harmless From Medicare Cuts During COVID–19 Act of 2020,” (H.R. 8702) would maintain the scheduled E/M payment increases, while holding health care providers harmless from Medicare payment cuts in 2021 and 2022.

Gastroenterologists are projected to experience a five percent decrease on average in their Medicare Part B payments next year.

Under the legislation:

  • Providers billing for eligible Medicare services — including certain E/M services — would receive an additional per service relief payment in 2021 and 2022 if the payment is lower than the 2020 payment rate.
  • The additional relief payment will equal the difference between the Medicare payment amount in 2021 and 2022 and the amount the service was paid in 2020.
  • Services with 2021 and 2022 payment rates higher than in 2020 are not eligible for the additional relief payment. (This includes E/M codes paired with a GPC1X add-on code for complex medical visits, as these two codes together are a payment increase over 2020.)

Take action here to stop the cuts.


ASGE Comments on Proposed Changes to J-1 Admission Rules

In October, ASGE joined the GI community in response to changes being proposed by the U.S. Immigration and Customs Enforcement that would amend regulations governing the admission period for certain nonimmigrant visas. Specifically, the proposed rule would change the admission period for J-1 physicians from “duration of status” to admission for a fixed period of time.

In a letter, the groups stated eliminating duration of status would be highly disruptive to physician training and patient care in the nearly 750 teaching hospitals across the United States.



About Gastrointestinal Endoscopy
Gastrointestinal endoscopic procedures allow the gastroenterologist to visually inspect the upper gastrointestinal tract (esophagus, stomach and duodenum) and the lower bowel (colon and rectum) through an endoscope, a thin, flexible device with a lighted end and a powerful lens system. Endoscopy has been a major advance in the treatment of gastrointestinal diseases. For example, the use of endoscopes allows the detection of ulcers, cancers, polyps and sites of internal bleeding. Through endoscopy, tissue samples (biopsies) may be obtained, areas of blockage can be opened and active bleeding can be stopped. Polyps in the colon can be removed, which has been shown to prevent colon cancer.

About the American Society for Gastrointestinal Endoscopy
Since its founding in 1941, the American Society for Gastrointestinal Endoscopy (ASGE) has been dedicated to advancing patient care and digestive health by promoting excellence and innovation in gastrointestinal endoscopy. ASGE, with more than 15,000 members worldwide, promotes the highest standards for endoscopic training and practice, fosters endoscopic research, recognizes distinguished contributions to endoscopy, and is the foremost resource for endoscopic education. Visit and for more information and to find a qualified doctor in your area.


American Society for Gastrointestinal Endoscopy
3300 Woodcreek Drive Downers Grove, IL 60515
P (630) 573-0600
F (630) 963-8332

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