2025 Gastroenterology Reimbursement and Coding Update (Virtual) | November 2024-The Other E&M We Do But (commonly) Forget to Bill For

Video Transcription

Video Summary

The video presentation highlights the importance of billing accurately for services in the gastroenterology field, especially those that are often overlooked in E&M (Evaluation and Management) coding. It discusses the transitional care management codes, telephone services, online digital assessment, and e-consultations. There is a specific emphasis on underutilized services such as transitional care for post-hospitalization patients, where timely follow-up visits and interactive communication are stressed to enhance billing. The discussion mentions the challenge with declining Medicare and commercial payer reimbursements, and emphasizes exploring multiple revenue sources such as labs, ambulatory endoscopy facilities, and non-traditional services like chronic care management and tobacco cessation counseling to offset professional fee cuts. The presentation also addresses concerns about changes in telephone service billing codes set to take effect in 2025, emphasizing the need for efficient and strategic coding practices to ensure maximum reimbursement. Additionally, there's a particular focus on maintaining robust billing habits for E&M services amidst a shifting healthcare financial landscape. The discussion includes a brief Q&A on coding best practices related to the treatment of gastrointestinal lesions.

Asset Subtitle

Glenn D. Littenberg, MD, MACP, FASGE

Keywords

gastroenterology billing

E&M coding

transitional care management

Medicare reimbursements

revenue sources

chronic care management

telephone service billing

coding best practices