Wiki New to Gastro

[clikens]

I have been a CPC for almost 6 years and have worked in other specialties and primary care. I may begin consulting for a gastro practice in the near future. Any helpful advice? Things to do? Things not to do? Mistakes made? Thanks for all the posts that I've read so far...very insightful.

Carol

 

[j.berkshire]

Carol, I've worked in GI for 28 years and done extensive consulting. Although all specialties have common concerns, areas of focus for GIs might include

• requirements for a consult,
• the appropriate use of modifier 25,
• point out the MDM's table of risk and definition of endoscopy with and without identified risk,
• the definition of a "complete" colonoscopy,
• review Medicare's CRC screening guidelines,
• billing based on time for hepatitis C patients,

PM me if you want; I'd be happy to discuss GI auditing with you.