Medicare's Colonoscopy Loophole Could Cost Your Patients
Contact your federal lawmakers to support a co-pay fix.
Published: July 17, 2014
Proposals to fix the way Medicare collects colonoscopy co-pays from its beneficiaries are currently under consideration by both houses of the U.S. Congress.
Backers say House Bill 1070 and Senate Bill 2348, known jointly as the "Removing Barriers to Colorectal Cancer Screening Act," would improve patients' access to colonoscopies and in so doing reduce the incidence of colon cancer.
The co-pay fix is necessary due to an inadvertent loophole in 2010's Affordable Care Act. The healthcare reform law waived Medicare's co-insurance payments for colorectal cancer screenings. But if a diagnostic procedure discovers a polyp and the endoscopist removes it, the procedure is then classified as therapeutic and the patient is on the hook for the co-pay. (Commercially insured patients do not face this loophole.)
Colorectal cancer prevention and treatment advocates are urging surgical facilities to lend their support to the proposed co-pay fix by contacting their federal lawmakers. The Ambulatory Surgery Center Association makes it easy to identify and e-mail your U.S. senators and representatives on the issue.
© Copyright Herrin Publishing Partners LP. REPRODUCTION OF THIS COPYRIGHTED CONTENT IS STRICTLY PROHIBITED. We encourage LINKING to this content; view our linking policy here.
Also in the News...
FDA Nixes Exparel as Nerve Block
Priest, Doc Say Brooklyn ASC Robbed Them Blind
Man Wins $1.8 Million After Surgeon Removes His Only Remaining Testicle
New Group Hopes to Rid ORs of Surgical Smoke
Tech Claims Hospital Discriminated Against Her After She Started Wearing Hearing Aids
Court Says No to Office-Based Surgery Site's Demand for Facility Fees
Court Backs Hospital's Firing of Employee Who Refused to Work With Difficult Doc