ASGE Advanced Endoscopic Lesion Resection Course (On-Demand) | November 2022-15 Templeton

15 Templeton_Making the finances work

Pdf Summary

The document discusses the economics of endoscopic resection in the field of gastroenterology. It emphasizes the cost effectiveness and reduced risk of adverse events associated with endoscopic resection compared to surgical resection for colorectal polyps. It highlights the importance of referral to advanced endoscopists before considering surgical resection, as recommended by society guidelines.<br /><br />The document also provides data on the number of screening colonoscopies performed annually in the US and the incidence of surgeries for nonmalignant colon polyps and colorectal cancer. It points out that the incidence of surgery for colorectal cancer has decreased over the years, while the incidence of surgery for nonmalignant polyps has increased significantly.<br /><br />The least invasive and most cost-effective ways of managing polyps are discussed, including the use of EMR (endoscopic mucosal resection), ESD (endoscopic submucosal dissection), and surgical resection. The document acknowledges that ESD is more challenging to learn and has higher complication rates, but it is emerging as a preferred option for polyps with high-risk features.<br /><br />The document also provides information on developing the necessary skills and setting up an ESD practice, including the equipment needed and the importance of convincing hospital administration about the benefits of endoscopic management.<br /><br />In terms of finances, the document explains the billing and payment processes for physicians, hospitals, and ambulatory surgical centers. It discusses the CPT codes used for physician reimbursement, APC groups for hospital outpatient billing, and MS-DRGs for hospital inpatient billing. It emphasizes the need for appropriate documentation and coding, and the importance of pre-authorization for procedures such as ESD.<br /><br />Overall, the document highlights the importance of understanding the economics and financial aspects of endoscopic resection and provides practical tips for navigating these aspects in the field of gastroenterology.

Keywords

endoscopic resection

gastroenterology

cost effectiveness

surgical resection

colorectal polyps

advanced endoscopists

screening colonoscopies

ESD

high-risk features

finances