Early Career Practice Management Essentials
Education Program

The American Society for Gastrointestinal Endoscopy (ASGE) and Boston Scientific have joined together to partner on a new initiative aimed at fulfilling a need for education in GI practice management amongst Advanced Fellows and Early Career Physicians (physicians less than five years out of fellowship).

Through the generous donation from Boston Scientific to the ASGE Beyond Our Walls campaign, Boston Scientific and ASGE have embarked on a new program to develop of a series of online learning modules designed to provide comprehensive education on the following topics related to GI endoscopy:

  1. Reimbursement
  2. Practice Management
  3. Quality
  4. Changing Healthcare Landscape

These modules will be housed in GI Leap, ASGE’s new online learning platform, and will be available to Advanced Fellows and Early Career Physicians at no charge

High resolution image for practice management modules (002)

Reimbursement 101 Learning Series

Reimbursement 101: The Basics
Presented by: Glenn D. Littenberg, MD, MACP, FASGE 

Dr. Littenberg provides an overview of the Early Career Practice Management Essentials Program in this introductory module to the series. This module highlights the various components of reimbursement including how payment is determined, the importance of proper coding and complete documentation.

Learning Objectives
  • Learn the essentials of coding, coverage and payment
  • Examine the reimbursement process from the initial service to claim payments
  • Identify the relative Relative Value Units (RVUs) and physician payment calculation
  • Understand the importance of complete documentation and its role in practice audits and reimbursement process
Module 1: Components of Reimbursement
  • Overview of coding, coverage and payment
Module 2: The Reimbursement Process
  • Overview of the process from the initial service to claim payment/adjudication
  • Called the Revenue Cycle by practice management professionals

Module 3: Physician Coding and Payment

  • Physician Coding
  • Overview of relative RVUs
  • MD payment calculation

Module 4: Importance of Complete Documentation

  • Role in our reimbursement process
  • Protection in practice audits

Bonus Module: Unlisted Procedure Billing Tools

  • Deeper dive into the details of how to do billing, coding and to pursue reimbursement for unlisted procedures

About Dr. Glenn Littenberg

Glenn D. Littenberg, MD, MACP, FASGE
Chief Medical Officer
inSite Digestive Healthcare
Pasadena, CA

Dr. Littenberg established a solo private practice in Pasadena, CA in 1978 which grew gradually to a group of 4, working out of Huntington Memorial Hospital where he was President of the Medical Staff and won Best Teaching awards from the Medical Housestaff.

Largely in pursuit of answers to practice management problems, he became involved in coding, billing, regulatory and political advocacy efforts in the 1980s, schooling himself in health policy and health administration. This led to long-standing involvement in California and national internal medicine societies, leading to an 8-year term on the AMA CPT Editorial Panel and to receipt of Master status with the American College of Physicians. 

He has served on ASGE Committees (chaired Practice Management Committee 2008-2015, Reimbursement Committee 2015-current); is ASGE's CPT Advisor and was a course director for three years at the GI Outlook (GO) Practice Management Conference. He is a founding board member & Chief Medical Officer of inSite Digestive Healthcare, in which his group of 6 is now part of a state-wide group of 54, the largest independent GI group in California.


  • Consulting/Speaker: Boston Scientific
  • Speakers Bureau: AbbVie
  • Advisory Board: Aries Pharm, Modernizing Medicine gMed, Ideal Protein Company, Coding Institute

The Early Career Physicians Management Essentials Education Program is a four-part series that will include information on the following non-clinical practice topics:

  • Reimbursement
  • Practice Management
  • Quality
  • Changing Healthcare Landscape

Check back soon for the next module in this four-part series.