ASGE Annual GI Advanced Practice Provider Course (Virtual) - Onboarding Day One

Video Transcription

Video Summary

The video transcript discusses various topics related to gastroenterology (GI) practice for advanced practice providers (APPs). The first topic is about patients with diabetes mellitus (DM) and their preparation for procedures. It is recommended that DM patients be given split doses of medication prior to the procedure, and they should consult their endocrinologist for managing their medications. The second topic is about the importance of bringing patients from long distances in the night before the procedure to ensure a comfortable and timely preparation. The next topic is about the use of aspirin in high-risk bleeding procedures. It is recommended to continue aspirin unless advised otherwise by the physician. The following topic is about billing for office visits to educate patients taking antithrombotic medications and coordinate with prescribing providers. Time-based coding is recommended for billing in such cases. The next topic discusses the use of split prep for inpatients prior to colonoscopy. While 4,000 mL prep the evening before and 2,000 mL the morning of the procedure is effective, patient compliance may be low, and individual cases should be considered. The last topic is about an APP conducting an unsedated endoscopy and whether anesthesia providers can still charge for their services. If the anesthesia provider is not requested to be there, they may not be billed. The importance of specific communication with colleagues, mentors, and administration regarding bonuses and incentives is emphasized. The transcript also includes a discussion on compensation transparency, building a clientele in a new GI practice, and the average number of patients seen per day by GI APPs. The video ends with polling questions regarding the experience of the audience and how they heard about the APP course.

Keywords

gastroenterology practice

diabetes mellitus

preparation for procedures

aspirin in high-risk bleeding procedures

billing for office visits

unsedated endoscopy