ASGE Annual Postgraduate Course: Leveraging New Advances to Improve Patient Outcomes (On-demand) | May 2024-Gene and Lyn Overholt Endowed Lecture Better Billing in Gastroenterology and Endoscopy

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Dr. Edward Sun, an Associate Medical Director at Peconic Bay Medical Center, shared insights on improving billing practices in gastroenterology and endoscopy. During his presentation, he discussed Physician Fee Schedule trends, E&M Visit Rules, SDOH ICD-10 codes, and Split/Shared Billing Tips. Dr. Sun emphasized understanding the basics of coding and billing, staying updated on changes in coding, documentation, and reimbursement rules. He highlighted the importance of billing accurately to receive full payment and billing effectively to maximize earnings for services rendered. The presentation touched on Medicare payment updates, evaluation and management in 2024, and billing strategies based on time for office visits, hospital care, and complex procedures like Endoscopic Submucosal Dissection (ESD). Dr. Sun also provided coding and documentation tips for interventional procedures, emphasizing the significance of proper documentation to support the complexity and work involved in each procedure. The use of ICD-10 codes related to social determinants of health was highlighted as a crucial aspect of coding accuracy. Additionally, guidance was provided on Split-Shared billing practices for collaborative patient encounters involving multiple healthcare providers. Dr. Sun closed by sharing resources for further information on coding, reimbursement, and practice management within the gastroenterology field.

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Edward Sun, MD, MBA, FASGE

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Concept Physician Fee Schedule

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Keywords

Dr. Edward Sun

Peconic Bay Medical Center

Gastroenterology

Endoscopy

Physician Fee Schedule

E&M Visit Rules

SDOH ICD-10 codes

Split/Shared Billing Tips

Medicare payment updates

Endoscopic Submucosal Dissection (ESD)

Physician Fee Schedule

EM Coding

Medical Decision Making

Encounter

Conversion Factor