2022 Gastroenterology Reimbursement and Coding Update: Concrete Solutions to Strengthen Your Foundation in GI Coding and Billing (On-Demand) | November 2021-Proper Documentation for Advanced Endoscopy: Reimbursement Tips when Billing Unlisted Procedure Codes

Proper Documentation for Advanced Endoscopy: Reimbursement Tips when Billing Unlisted Procedure Codes

Video Transcription

Video Summary

In this video, the presenter discusses various advanced endoscopy procedures and provides tips for billing them, particularly when using unlisted procedure codes. The presenter covers topics such as endoscopic ultrasound (EUS), endoscopic mucosal resection (EMR), endoscopic submucosal dissection (ESD), pancreatic necrosectomy, the EDGE procedure, peroral endoscopic myotomy (POEM), transoral incisionless funduplication (TIF), chromoendoscopy, optical endomicroscopy, and proper documentation and claims processing. The presenter emphasizes the importance of accurate procedure descriptions on claim forms and creating cover letters for unlisted procedures to explain their benefits. The presenter also recommends negotiating with commercial payers for established fees for advanced procedures.

Asset Subtitle

Kristin Vaughn, CPC, QMC, QMGC, CPMA, ICDCT-CM

Keywords

advanced endoscopy procedures

billing tips

unlisted procedure codes

endoscopic ultrasound (EUS)

endoscopic mucosal resection (EMR)

endoscopic submucosal dissection (ESD)