Practice Management


  • ASGE Answers Your Coding Questions

    January 8, 2025

    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?

  • Improving Patient Postprocedure Discharge Instructions

    January 8, 2025

    The GI endoscopy service determined by using patient experience and complaint data that patients were frequently not receiving adequate discharge instructions.

  • Case 25: A Lacy Esophagus

    January 8, 2025

    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.

  • ASGE Answers Your Coding Questions

    December 12, 2024

    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.

  • Improving Adherence to the 2017 Multi-Society Task Force on CRC Screening Recommendations for First-Degree Relatives of Patients With an Advanced Adenoma

    December 12, 2024

    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.

  • Case 24: Management of a Common Bile Duct Stone in a 55-Year-Old Female

    December 12, 2024

    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.

  • Management Services Organizations: A Growing Problem or Solution?

    December 12, 2024

    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.

  • ASGE Answers Your Coding Questions

    November 15, 2024

    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.

  • Reduction of Multiple IV Attempts

    November 15, 2024

    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.

  • A Blueprint for Exceptional Care and Thriving Providers

    November 15, 2024

    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.

  • ASGE Ancillary Procedures to Diversify GI Practice Revenue

    November 15, 2024

    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.

  • ASGE Answers Your Coding Questions

    October 10, 2024

    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?

  • Quality Study on the Time-Out Process

    October 10, 2024

    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.

  • Case 23: Chronically Abnormal Liver Function Tests

    October 10, 2024

    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).

  • Innovating Personalized Care: The Future of Gastroenterology

    October 10, 2024

    We talk a lot about innovation in health care and for good reasons. Technologies promise to genuinely transform health care as we know it.