News from the AGA

GI societies fighting Medicare cuts


 

The GI societies solicited your help submitting comments to the 2014 Medicare Physician Fee Schedule Final Rule and you came through for us. While we are still counting the letters submitted by gastroenterologists, we want to thank those of you who took the time to submit comments for the official record.

On Jan. 27, the GI societies submitted joint comment letters for the 2014 Medicare Physician Fee Schedule (PFS) and the 2014 Outpatient Prospective Payment System (OPPS) and Ambulatory Surgery Center (ASC) Payment System final rules. We provided an in-depth, code-by-code analysis of why we believe the methodologies used to determine the 2014 Medicare PFS reimbursement rates for certain upper GI endoscopy codes were flawed and unwarranted. In addition, for the OPPS/ASC letter, we provided comment on the ambulatory payment classification assignment for GI codes and the new endoscopy surveillance measures in the ASC quality reporting program.

The GI societies are committed to fighting these reimbursement cuts on your behalf. As such, we will continue to meet with CMS officials to discuss our review of CMS’s decisions, as outlined in the tri-society comment letters.

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