2022 Gastroenterology Reimbursement and Coding Update: Concrete Solutions to Strengthen Your Foundation in GI Coding and Billing | November 2021-The Other E&M We Do But (commonly) Forget to Bill For

Video Transcription

Video Summary

The speaker begins by thanking the audience for their resilience and enduring a long afternoon. He then mentions that he will discuss some things that are often overlooked and not billed for in medical services. He presents a slide of an artifact from ancient Turkey and discusses upcoming issues related to fee cuts. He mentions the MIPS requirements and how not meeting them can result in a reduction of payments. He also discusses the importance of reporting diagnoses for patients covered by Medicare Advantage plans. The speaker then talks about the need for capturing HCC codes to accurately reflect the risk of the patients being cared for and potentially gain benefits within the MIPS system. He presents a slide on the decline of revenue in professional fees and mentions other sources of revenue for larger GI groups. The speaker then goes on to talk about various services that can be billed for, such as transitional care services, telephone and online services, and e-consultations. He provides examples and explains the rules and payments associated with these services. The speaker mentions the lobbying efforts to maintain the current benefits and encourages the audience to stay updated on payer policies. He concludes by directing the audience to additional resources for coding education and practice support.

Asset Subtitle

Glenn D. Littenberg, MD, MACP, FASGE

Keywords

resilience

MIPS requirements

Medicare Advantage plans

HCC codes

revenue decline

e-consultations