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We’ve received denials from multiple payers for Code 99223 despite high-risk MDM and appropriate documentation. The code was denied after consultation review. What’s the best way to appeal this decision?
The GI endoscopy service determined by using patient experience and complaint data that patients were frequently not receiving adequate discharge instructions.
A 69-year-old woman is evaluated for longstanding dysphagia to solids. She reports daily episodes of dysphagia for more than five years and prior endoscopies have been unrevealing.
A Cologuard was done for weight loss, which is not an appropriate indication. Since it was performed, should the follow-up colonoscopy for a positive Cologuard be billed as diagnostic or screening? The patient has Medicare.
In 2017, the Multi-Society Task Force on Colorectal Cancer recommended that an individual with a first-degree relative with an advanced adenoma or colorectal cancer should begin screening at the age of 40 years.
A 55-year-old female presented to the emergency department with a two-day history of sharp, intermittent right upper quadrant (RUQ) pain that radiated to her back.
With 73.9 percent of physicians employed by hospitals or corporate entities at the start of 2022, the sustainability of independent physician practices is being called into question.
We have several providers (three physicians and one nurse practitioner) joining our practice. Payor credentialing is slow. Due to this limitation, it is difficult to find enough patients to fill our new providers’ schedules.
Based on quarterly patient safety reports, our center has seen a rise in incidents of multiple IV attempts. A patient safety report (PSR) is written when there are four or more IV attempts to produce a successful IV.
In gastroenterology, delivering exceptional patient care while maintaining provider satisfaction demands attention and strategy. Joe Cappa, MD, a gastroenterologist with 31 years of experience, offers insights on achieving this balance.
There are a variety of ancillary procedures available to GI practices, most of which are relatively easy to perform and can help diversify the practice, thus improving patient access to these procedures and the revenue stream.
Would you provide some insight into how to follow the "white bag" infusion model? Currently, we bill the drug code, but we zero out the charge and then add the FB modifier. Is that correct?
This study observes the time-out process before endoscopic procedures to ensure all steps are followed and all team members are focused—supporting patient safety by preventing wrong-site, wrong-procedure, and wrong-patient errors.
A 25-year-old male with a history of Down's syndrome, hypothyroidism and a body mass index of 33.2 presented to the office with his mother due to chronic abnormal liver function tests (LFTs).
We talk a lot about innovation in health care and for good reasons. Technologies promise to genuinely transform health care as we know it.