Becker's Healthcare November 7, 2024
Here are five reimbursement issues currently impacting gastroenterology:
Declining reimbursements
Leaders are voicing concerns as gastroenterology reimbursements continue to decline. Gastroenterology was one of 13 specialties that saw declining reimbursement rates despite higher volumes per beneficiary.
Unadjusted and adjusted average reimbursement for GI procedures dropped by 7% and 33%, respectively from 2007 to 2022, according to a study published in The American Journal of Gastroenterology. Reimbursements for colonoscopies and biopsies decreased 38% during that period.
In another study published in the Journal, researchers found reimbursements for an esophageal biopsy decreased 41% in hospitals and 32% in physician’s offices from 2006 to 2023.
There’s also the site of service disparity. In an ASC setting, the average colonoscopy costs...
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