Practice Management

  • 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.

  • ASGE Answers Your Coding Questions

    September 12, 2024

    A patient with polyps in 2012 missed their 2019 recall and returned in 2024. Should this be billed as screening or history of polyps? Is two negative scopes required before resuming screening, or is the 10-year gap enough to consider it screening?

  • Pathology Specimen Reconciliation

    September 12, 2024

    To see a decrease in the number of errors on pathology reports upon reconciling. These errors are a combination of mistakes from [pathology company] and [endoscopy unit] staff.

  • Case 22: Upper GI Bleeding

    September 12, 2024

    Upper GI Bleeding. A 56-year-old male with a history of alcoholic cirrhosis presents to the ER with new onset bright red bloody emesis. It began two hours ago. He had three episodes of bright red bloody emesis before arriving in the ER.

  • Second Annual Elevate Leadership Retreat

    September 12, 2024

    Diversity in medicine is critical to providing equitable, high-quality health care to all patients. In its second year, the ASGE Elevate Leadership Retreat for early-career physicians underrepresented in medicine took place at the ASGE IT&T Center.

  • September Is Childhood Cancer Awareness Month: What Every Gastroenterologist Should Know

    September 12, 2024

    Every September, a global movement takes place to highlight the importance of childhood cancer. Childhood Cancer Awareness Month is symbolized by a gold ribbon, which represents all forms of pediatric cancer.

  • ASGE Answers Your Coding Questions

    August 9, 2024

    A patient had a normal screening colonoscopy in 2016, but due to a redundant colon, the provider recommends a 7-year follow-up. Can the next exam be billed as a screening using DX Q43.2, possibly with code G0105?

  • Appropriate Disposal of Waste

    August 9, 2024

    This project aims to reduce biohazard waste in our endoscopy unit by training staff and using visual reminders, helping lower the unit’s carbon footprint and align with GI society guidelines on climate-conscious clinical practices.

  • Advancing Chronic GI Care: Strategies and Insights for GI Physicians

    August 9, 2024

    Gut issues are on the rise in the U.S., impacting an estimated 60 to 70 million Americans. According to research conducted by the American Gastroenterological Association (AGA), 40 percent of Americans put off daily activities due to bowel issues.

  • ASGE Answers Your Coding Questions

    July 25, 2024

    A provider asked if 46221 can be billed twice in one visit for different hemorrhoid degrees (e.g., 46221 K64.1 and 46221-59 K64.2). Coding software accepted it, but is this valid coding practice for the same procedure on different hemorrhoid sites?

  • Addressing Cancellations and No-Shows

    July 25, 2024

    The endoscopy department has been seeing a high percentage of cancellations/no-shows over the past few years. One factor that the GI and endoscopy department lacked was a registered nurse (RN) to prep patients, answer questions and confirm appointments.

  • Case 21: Liver

    July 25, 2024

    A 46-year-old white male presents with a complaint of “abnormal liver labs.” He states his liver labs have been slightly elevated over the past nine months. He is asymptomatic.