2022 Gastroenterology Reimbursement and Coding Update: Concrete Solutions to Strengthen Your Foundation in GI Coding and Billing

01 - Breaking News_Mueller

Pdf Summary

This document provides an overview of the current payer issues impacting gastroenterology practices and previews the changes expected in 2022. The document begins with a disclosure that the presenter has a financial relationship with Boston Scientific.<br /><br />The extension of the Public Health Emergency (PHE) is discussed, noting that telehealth waivers and flexibilities will remain in effect until at least January 16, 2022. The 2022 ASC Fee Schedule is outlined, highlighting a 2.0% increase and the addition of new codes.<br /><br />The 2022 Physician Fee Schedule is discussed, with a focus on policy changes for Medicare payments and the adjustment of the conversion factor. The document also mentions the refinement of split (or shared) E/M visits and the inclusion of certain telehealth services on the Medicare list.<br /><br />New CPT codes for 2022 are listed, including codes for lower esophageal myotomy, hepatitis B vaccine, gastrointestinal tract imaging, and chronic care management services.<br /><br />Payer updates from Novitas, United Healthcare, Cigna, Anthem, Aetna, and other insurance companies are provided. These updates cover various topics such as screening colonoscopy guidelines, reimbursement policies, and changes to consultation codes.<br /><br />The document concludes with an overview of the 2022 ICD-10-CM update, listing new codes related to toxic encephalopathy, esophageal polyps, gastric intestinal metaplasia, Sjogren syndrome with gastrointestinal involvement, cough, feeding difficulties, adverse effects of cannabis, and post-COVID-19 conditions. It also mentions additional codes related to housing and economic circumstances.<br /><br />The document hints at other issues impacting GI practices, including ICD-10 and HCC/risk adjustment, E&M review, screening versus diagnostic procedures, medical necessity, pathology and ancillary services, anesthesia services, and upcoming changes in 2023.

Keywords

payer issues

gastroenterology practices

2022

telehealth waivers

ASC Fee Schedule

Physician Fee Schedule

CPT codes

payer updates

ICD-10-CM update

screening colonoscopy guidelines