ASGE/JGES Advanced ESD (On-demand)| July 2023-Reimbursement & Quality Metrics

Video Transcription

Video Summary

In this video, the speaker discusses reimbursement and quality metrics related to ESD (endoscopic submucosal dissection). They highlight the differences in reimbursement between hospitals in Maryland and other states. The speaker recommends using unlisted codes for physician reimbursement and explains the process of submitting a claim for these codes, including the need for a cover letter. They also suggest considering a predetermination letter to confirm reimbursement for procedures like ESD, which may be considered experimental or investigational. The speaker emphasizes the importance of documenting and monitoring quality metrics for ESD, such as indications, optical diagnosis, resection outcomes, and complications. They mention the need for using both morphology criteria and enhanced imaging in the diagnosis of T1 colorectal cancer. The speaker also discusses the technique variations of ESD, volume requirements, and procedure time. In conclusion, while there are no established quality metrics for ESD, monitoring outcomes and competency is crucial. The speaker recommends utilizing industry resources for billing assistance. The video does not credit any specific sources or individuals.

Asset Subtitle

Saowanee Ngamruengphong, MD, FASGE

Keywords

reimbursement

quality metrics

endoscopic submucosal dissection

unlisted codes

physician reimbursement