Significant Developments for Gastroenterology in Medicare's 2015 Final Rules

The Centers for Medicare & Medicaid Services (CMS) has released its final rule for physician reimbursement under Medicare or 2015, and it includes a few developments that should be of interest to gastroenterologists.

According to an American Gastroenterological Association report, highlights include the following:

  • CMS has delayed the valuation of the lower gastrointestinal endoscopy codes until 2016.
  • CMS reversed some of the significant cuts to upper GI services that were implemented in the 2014 Medicare payment rule.

As we previously reported, CMS also released its 2015 final rule on the hospital outpatient prospective payment system (OPPS) and ambulatory surgical center (ASC) payment system policy changes and payment rates.

AGA notes that both OPPS and ASC payments for GI services received a positive update for 2015.

Looking for help with gastroenterology billing? Contact PGM Billing to learn what we can do for your GI practice and why we're quickly becoming one of the nation's leading ASC billing services!


X