ASGE Advanced Endoscopic Lesion Resection Course | November 2022-15 Templeton

15 Templeton_Making the finances work

Pdf Summary

The document discusses the economics of endoscopic resection, focusing on the financial aspects of managing polyps through endoscopic procedures rather than surgical resection. It highlights the benefits of endoscopic resection, such as reduced risk of adverse events and cost-effectiveness compared to surgery. The document emphasizes the importance of determining the community's needs and developing the necessary skills to meet those needs. It suggests working within the community to grow the practice and collaborating with various stakeholders such as hospital administration, nursing/tech teams, and referral bases. The document also provides insights into the financial considerations of different billing and payment systems, including physician billing and payment through CPT codes, hospital outpatient billing through APC groups, and hospital inpatient billing through MS-DRGs. It highlights the importance of appropriate billing practices, such as using modifiers and providing necessary documentation for complex procedures. The document also mentions the challenges and considerations of billing for endoscopic submucosal dissection (ESD), including the absence of a specific CPT code for ESD and the need for pre-authorization and peer-to-peer discussions. Overall, the document suggests that with proper planning, skill development, and collaboration, endoscopic resection can be a financially viable option for managing polyps.

Keywords

endoscopic resection

financial aspects

polyps

cost-effectiveness

community needs

skills development

billing systems

modifiers

documentation

ESD