2023 Gastroenterology Reimbursement and Coding Update (Virtual) | November 2022-The Other E&M We Do But (commonly) Forget to Bill For

Video Transcription

Video Summary

In this video, the speaker discusses various billing and coding practices related to E&M (evaluation and management) services in gastroenterology. They begin by presenting polling questions on the percentage of visits billed at level five for GI compared to other medical subspecialties. They explain that the number of level five GIs is lower than many other medical subspecialties, indicating a potential undercoding issue in GI. The speaker suggests that changes in EM (electronic medical) documentation could help capture level five work better.<br /><br />They then discuss transitional care management services, which involve patients being discharged from the hospital and require a face-to-face visit within seven or 14 days. These services have high RVUs (relative value units) and can provide significant reimbursement.<br /><br />The speaker also covers telephone services, highlighting that physicians can bill for telephone consultations with established patients. They explain the rules and codes for telephone services, emphasizing the importance of documenting and billing for these services.<br /><br />Additionally, the speaker mentions online digital E&M services, virtual check-ins, and interprofessional telephone consultations as other billing and coding practices in gastroenterology.<br /><br />They provide examples of clinical cases and explain the applicable codes and reimbursement amounts for each service. The speaker also mentions the uncertainty surrounding the continuation of telehealth services after the public health emergency (PHE) and encourages lobbying for payment parity and permanent establishment of expanded telehealth services.<br /><br />Overall, the video aims to educate gastroenterologists on billing and coding practices to ensure proper reimbursement for the services they provide.

Asset Subtitle

Glenn D. Littenberg, MD, MACP, FASGE

Keywords

billing and coding practices

E&M services

gastroenterology

undercoding issue

transitional care management services

telephone services

online digital E&M services