2023 Gastroenterology Reimbursement and Coding Update (Virtual) | November 2022-What Not to Forget in 2023

Pdf Summary

In this document, Dr. Glenn Littenberg discusses the importance of billing for "interstitial" services that are commonly overlooked in medical billing. These services often add to professional fees and can include transitional care services, portal services, telephone services (beyond telehealth visits), chronic care management, remote patient monitoring, home health certif/recertif, care plan oversight, and other services such as admin fees, prep kit sales, supplements, non-covered breath tests, nutrition services, and integrative health practices.<br /><br />Dr. Littenberg also explains the coding for telephone E/M (Evaluation and Management) services during COVID-19, as well as online digital E/M and virtual check-ins. He provides clinical case examples and the corresponding billing codes for each type of service.<br /><br />Additionally, Dr. Littenberg mentions the possibility of permanent changes to telehealth services beyond the COVID-19 pandemic and advocates for payment parity for video and audio-only telehealth services compared to in-person E/M services. He discusses Medicare payment rules and provides resources for further information, including the ASGE Coding Primer and the Medicare Physician Fee Schedule Look-Up.<br /><br />Overall, the document emphasizes the importance of not forgetting to bill for commonly performed services and provides guidance on the coding and billing process for various types of E/M services.

Asset Subtitle

Glenn D. Littenberg, MD, MACP, FASGE

Keywords

interstitial services

medical billing

telephone services

chronic care management

remote patient monitoring

telehealth services

payment parity

Medicare payment rules

coding and billing process

E/M services