2022 Gastroenterology Reimbursement and Coding Update: Concrete Solutions to Strengthen Your Foundation in GI Coding and Billing (On-Demand) | November 2021-05 - Proper Documentation For Advanced Endoscopy

05 - Proper Documentation For Advanced Endoscopy_Vaughn

Pdf Summary

This document provides information on proper documentation and reimbursement tips for advanced endoscopic procedures. The document covers various procedures such as Endoscopic Ultrasound (EUS), Endoscopic Mucosal Resection (EMR), Endoscopic Submucosal Dissection, Pancreatic Necrosectomy, EUS with Fiducial Marker Placement, Endoscopic Gastrocutaneous Fistula Closure, EDGE (Endoscopic Ultrasound Directed Transgastric ERCP), Peroral Endoscopic Myotomy (POEM), Transoral Incisionless Fundoplication (TIF), Chromoendoscopy, and Optical Endomicroscopy.<br /><br />The document emphasizes the importance of proper documentation and claims processing for advanced procedures. It provides examples of procedure descriptions, findings, diagnoses, and corresponding CPT codes for each procedure.<br /><br />It also discusses appropriate billing for unlisted procedures and provides tips for handling denials and submitting documentation. The document advises creating a fee schedule based on RVU's/fees of comparable established procedures.<br /><br />Overall, the document provides valuable information and guidelines for healthcare professionals involved in advanced endoscopic procedures.

Keywords

documentation

reimbursement

advanced endoscopic procedures

Endoscopic Ultrasound (EUS)

Endoscopic Mucosal Resection (EMR)

Endoscopic Submucosal Dissection

Pancreatic Necrosectomy

EUS with Fiducial Marker Placement

Endoscopic Gastrocutaneous Fistula Closure

EDGE (Endoscopic Ultrasound Directed Transgastric ERCP)