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Home > Archive > March 2007
Prepping for the Colonoscopy Cuts
Experts say smaller reimbursements will re-emphasize case efficiency and cost control.
Daniel Cook, Senior Associate Editor

Medicare's new ASC payment system will likely create incentives to steer patients needing GI services from freestanding outpatient centers into the hospital setting. The American Gastroenterological Association paints a bleak picture, forecasting that the new payment system could "shift as much as 20 percent of revenue away from ASCs." Here's why: Reimbursement for colonoscopies (CPT 45378) performed in ASCs would drop from $446 to $356.54, 30 percent less than the $509.34 HOPDs receive, if Medicare sets ASC payments at 62 percent of the HOPD rates. Here's how to prepare for what looks like an inevitable loss of revenue.

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Categories: Business Management, Code/Bill/Reimburse, Gastroenterology
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