Anesthesia Coding Alert

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Achieve EGD Claims Success With These 5 Tips

Payer policies differ on upper GI and colonoscopy screening, so check with yours first.Reporting your anesthesiologist's work during an upper gastrointestinal endoscopy, esophagogastroduodenoscopy (EGD), or colonoscopy procedure is a thorny issue for many coders. If your anesthesiologist provides service during one of these procedures, you'll need to consider a number of factors in order to get reimbursed. These five expert tips should help you submit worry-free EGD claims.1. Clear Anesthesia Coverage With Your PayersInsurance companies have varying viewpoints on whether they reimburse for EGD anesthesia. That's why verifying your payer's policy is a good starting point. Many payers consider EGD conscious sedation anesthesia to be the responsibility of the endoscopist or gastroenterologist, says Joanne Mehmert CPC, CCS-P, president of Joanne Mehmert & Associates in Kansas City, Missouri. These payers believe "the endoscopist can supervise a qualified person to monitor the patient and administer pain medication during the procedure." In fact, [...]
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