AAPC - Back to school
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Thread: New to Gastro

  1. #1

    Smile New to Gastro

    AAPC: Back to School
    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.


  2. #2
    Join Date
    Apr 2007


    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.
    Jenny Berkshire, CPC, CEMC, CGIC

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