GI Unit Leadership: Shaping a High-Performing Endoscopy Unit (On-Demand) | February 2026-Reimbursement Landscape Q and A

Video Transcription

Video Summary

The discussion focuses on declining reimbursements for Hospital Outpatient Departments (HOPD) and Ambulatory Surgery Centers (ASC), noting HOPDs historically received higher payments partly due to hospital lobbying and handling more complex cases. ASC payments have decreased significantly, now about 53% of HOPD rates. CMS aims to reduce these disparities but progress is slow. Shifts in reimbursement have made office-based endoscopy a viable alternative, especially where ASCs face regulatory barriers. Physician reimbursement remains politically challenging to improve, impacting ability to attract staff and adopt technologies. Educational resources like ASGE courses and recent articles on office-based endoscopy economics were recommended for leadership in gastroenterology practices.

Meta Tag

Concept Hospital Outpatient Department

Concept Ambulatory Surgery Center

Concept Medicare Reimbursement

Concept Site Neutrality

Concept Coding Accuracy

Keywords

Hospital Outpatient Departments

Ambulatory Surgery Centers

Reimbursement Disparities

Office-Based Endoscopy

Physician Reimbursement Challenges

Hospital Outpatient Department

Ambulatory Surgery Center

Medicare Reimbursement

Site Neutrality

Coding Accuracy