Blog

ASGE Answers Your Coding Questions
December 9, 2025
Many of our providers are asking if they can bill for a telephone or audio only visit to discuss test results with patients. This ended in May 2025, and the current guidelines do not appear to support reimbursement.
Case 33: APP Leadership – The Basics
December 9, 2025
This month’s case takes a different approach. Rather than focusing on a clinical scenario, we’re spotlighting leadership fundamentals for APPs and why they’re critical to the future of GI care.
The Future of Healthcare: Are Private Equity Partnerships Sustainable for Independent Practices?
December 9, 2025
Independent medical practices have long been the cornerstone of community-based care, offering patients personalized attention and continuity that large systems often struggle to provide.
Celebrating Collective Effort
December 9, 2025
Success reflects a collective effort as the course of 2025 reminded your GI colleagues. Read on for responses from ASGE committee members who share their lessons learned from the year.
ASGE Urges HCSC to Include Endoscopic Sleeve Gastroplasty (ESG) in Bariatric Surgery Policy
December 3, 2025
ASGE urges HCSC to update its Bariatric Surgery Policy to cover Endoscopic Sleeve Gastroplasty (ESG), now a Category I CPT® procedure effective Jan 1, 2026. ESG is FDA-authorized, guideline-endorsed, and proven safe, durable, and cost-effective.
ASGE Delegates Help Shape Policy at AMA House of Delegates Interim Meeting
November 25, 2025
ASGE physician leaders—Gary Richter, MD and Robin Mendelsohn, MD—represented gastroenterology at the AMA House of Delegates (HOD) Interim Meeting.
Physician Organizations Urge Elevance Health to Rescind Controversial Policy
November 25, 2025
A broad coalition of physician organizations, including ASGE, is urging Elevance Health to withdraw its new “Facility Administrative Policy: Use of a Nonparticipating Care Provider,” set to take effect in 11 states on January 1, 2026.
FDA Issues Draft Guidance for Demonstrating Biosimilarity
November 14, 2025
New draft industry guidance from the Food and Drug Administration (FDA) suggests the agency will change its approach to biosimilar review and no longer require comparative efficacy studies as part of an application for review.
White House Reaches Deal to Cut GLP-1 Prices
November 14, 2025
On November 6, President Trump announced that Eli Lilly and Novo Nordisk will offer their GLP-1 weight-loss drugs at a significant discount. As part of the deal, consumers will be able to buy the companies’ products at a significant discount on TrumpRx.
Telehealth Flexibilities Extended with Shutdown Deal
November 14, 2025
The deal to end the federal government shutdown passed by Congress and signed into law includes a number of health care extender provisions, including extension of the COVID-era telehealth flexibilities under Medicare.
ASGE Answers Your Coding Questions
November 12, 2025
Is there something (as a coder) that we can send on claims to avoid sequestration, reduction in federal payment?
Case 32: Acute Pancreatitis
November 12, 2025
A 46-year-old man with poorly controlled diabetes presents with a two day history of severe epigastric pain that radiates to his back with associated nausea and vomiting.
The Evolving Role of Clinical Research in Gastroenterology
November 12, 2025
Clinical research has long served as the bridge between scientific discovery and patient care. Today, its role in gastroenterology is expanding, shaping not only treatment options but also the patient–physician relationship.
CMS Finalizes CY 2026 Medicare Physician Fee Schedule (PFS)
November 1, 2025
On October 31, CMS released the CY 2026 PFS Final Rule, effective January 1, 2026. Early review indicates that gastroenterology and other procedural specialties will experience net payment reductions due to new efficiency and practice expense adjustments.
Payer Pressure: Anthem’s Facility Administrative Policy—Implications for GI Practices
October 30, 2025
Effective January 1, 2026, Anthem will implement a new Facility Administrative Policy in several states that targets the use of non-participating (out-of-network) physicians in facility-based settings.

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