2026 Gastroenterology Reimbursement and Coding Update (On-Demand)

Agenda

Pdf Summary

The "2026 Gastroenterology Reimbursement and Coding Update" is a comprehensive virtual course scheduled for Saturday, November 15, 2025, designed to equip GI professionals with the latest coding and billing knowledge for 2026. The program aims to help participants implement CPT changes impacting GI practice, understand Evaluation and Management (E&M) service leveling based on medical decision making or time, lead coding teams effectively, apply strategies for new GI technologies, resolve GI-specific coding challenges, and navigate CMS telehealth updates.<br /><br />The agenda begins with a welcome from course director Edward Sun, MD, followed by sessions covering a 2026 preview, reimbursement landscape changes including HR1 and the Medicare Physician Fee Schedule (MPFS), and physician perspectives on E&M documentation guidelines. Practical examples on medical decision making and time-driven visits are provided by Kristin Vaughn. <br /><br />Key topics include distinctions between screening and surveillance colonoscopy, documentation techniques for advanced endoscopy billing, and best practices for coding ancillary services like anesthesia, pathology, infusions, and diagnostics. Discussions on regulatory issues from agencies such as OIG and RAC, the impact of artificial intelligence on documentation and compliance, and split/shared and incident-to guidelines broaden the scope.<br /><br />Revenue cycle management strategies are emphasized through joint presentations, along with sessions on frequently overlooked E&M billing, electronic medical records' advantages and challenges, and the top coding questions received by the American Society for Gastrointestinal Endoscopy (ASGE).<br /><br />The course concludes with an interactive roundtable addressing participant questions and priorities. This program is intended for GI practitioners, coders, and billing professionals seeking to master reimbursement policies and optimize practice management in 2026.

Keywords

Gastroenterology

Reimbursement

Coding Update

2026 CPT Changes

Evaluation and Management (E&M)

Medical Decision Making

CMS Telehealth

Colonoscopy Coding

Advanced Endoscopy Billing

Revenue Cycle Management