ASGE | Blog

GI Billing Playbook: Your Guide to Coding, Reimbursement & Payment

As you prepare to transition into full clinical practice, understanding the business side of medicine — including coding, reimbursement, and payment — is essential.
ASGE Member Alert: Downcoding of E/M: What GI Physicians Need to Know

Downcoding occurs when a payer automatically reduces a submitted claim to a lower E/M level, often via automated edits and without chart review, resulting in underpayment.
ACA Enhanced Tax Credits to Expire without Action by Congress

ASGE has joined more than 90 medical specialty societies and state medical associations in a letter to congressional leaders urging extension of the enhanced premium tax credits (EPTCs).
CMS Prepares to Launch Prior Authorization Models for Select PFS and ASC Services

Concern across the medical community about the use of AI to review claims and requests for prior authorization is mounting as the Centers for Medicare & Medicaid Services (CMS) prepares to launch a new prior authorization initiative.
Now Available: 2026 MIPS Payment Adjustment Information

The Centers for Medicare & Medicare Services (CMS) has released Merit-based Incentive Payment System (MIPS) payment adjustment information for the 2024 performance period/2026 MIPS payment year.
Education Corner October 2025

The Future of GI Fellowship Education is Here! GI Program Training Directors: Help your fellows thrive in the field of GI endoscopy with access to the latest GI content available through ASGE’s Gastrointestinal Endoscopy Self-Assessment Product (GESAP).
IBD: A Field of Discovery, Growth, and Deep Patient Connection

I chose to specialize in inflammatory bowel disease (IBD) because it is one of the most dynamic and rewarding areas in gastroenterology.
Inside Advanced Endoscopy with Dr. Mohammad Bilal

The ability to intervene in someone’s disease course with your hands (endoscope) really inspired me to pursue interventional endoscopy. While every specialty is equally important in medicine, this feeling is what made me choose interventional endoscopy.
ASGE Answers Your Coding Questions

A provider wants to do an office visit the same day as the patient’s infusion since the patient is coming back from college. If we do that, can we add a modifier to get paid for both?
Increasing Withdrawal Time

Successful applicants to the ASGE Endoscopy Unit Recognition Program submit a summary of a recently conducted quality improvement (QI) project as part of the application process.
Case 31: Painful, Leaking PEG Tube

A 30 year-old male with a history of cystic fibrosis and PEG tube dependency presents to clinic with complaints of difficulty using PEG tube, leaking around tube and abdominal pain.
2025 EQuIP Prize Winners

The ASGE Endoscopy Quality Improvement Project – EQuIP – Prizes Program promotes quality improvement projects that have the potential to transform quality care in endoscopy.
NIH Operations Disrupted by Federal Funding Lapse

On Oct. 1, the National Institutes of Health (NIH) issued a notice titled “Information for the NIH Extramural Community During the Lapse of Federal Government Funding.”
New CPT® Codes for GI Services Coming in 2026

Introducing New CY2026 CPT® Codes Relevant to GI: ESG and Anorectal Physiology Effective January 1, 2026, three new CPT®[1] codes take effect for common GI services.
Medical Groups Ask for Exception to New H-1B Order

ASGE joined national physician organizations on a letter to Department of Homeland Security Secretary Kristi Noem urging that H-1B visa graduate medical education trainees be exempt from a new order issued.

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