National Affairs

Keep up with the latest news and developments on Capitol Hill, CMS and the FDA. Don’t forget to check the ACG’s Recent Actions and Legislative Affairs pages for the latest updates. You can make a difference. From health care reform to other legislative and regulatory issues that affect your practice, every voice counts. ACG has compiled a wealth of resources to help keep members up-to-date on the latest legislative and regulatory actions that impact the gastroenterology practice, as well as tools to help you manage your practice in light of these changes and take action on important issues.

Member Resources


CMS….SGR… MACRA… MIPS… APMs… QCDRs… ACOs… Why does Washington D.C. love acronyms and complicated payment systems?  What the heck is going on here?  ACG Hopes to Keep This Simple.   We compiled a detailed overview for you that seeks to make some sense out of this alphabet soup – but hopefully in a simplified fashion and in plain English.  Read the summary and potential impact to GI.

Dissecting MACRA:
Year 1

Year 2
Year 3

Attention Solo and Small GI Practices: Get Your 2017 MIPS Crash Cart!
Are you nervous that 2017 is coming to a close?  Do you simply want to do the minimum to avoid any Medicare reimbursement cut?  ACG is here to help.  Check out ACG’s new infographic, the “GI Small Practices Crash Cart,” and follow the 4 easy steps to avoid a Medicare reimbursement cut.  This infographic guides you through the process, by first determining whether or not you even have to participate in MIPS in 2017 (being a small practice may come in handy!), to selecting measures, to showing you a measure that you may be able to report, and where to report the quality measure’s identifying code on a Medicare claims form.

It only requires a one-time effort to avoid a cut – don’t miss your chance!

View the infographic here.

ACG-CMS Webinar for ACG Members
Need more guidance and answers on MACRA?  Then it is important to hear directly from the folks actually implementing MACRA: CMS.

ACG recently invited CMS officials to participate in a joint-webinar tailored for ACG members.  This webinar walks ACG members through the background of MACRA and provides a detailed overview of the newly implemented Merit-based Incentive Payment System or MIPS.  CMS also answers ACG members’ questions. You may view the webinar here.

ACG Guidance- Improving Your Quality Reporting

In the upcoming days, ACG will focus on certain segments of this newly proposed Medicare payment system, delving more into the specifics but in piecemeal and in brief summaries.  This way, we hope the busy GI clinician is not overloaded with lengthy explanations, complicated flow charts, and more acronyms all at the same time.

All Tidbits

ACG Guidance on GI Moderate Sedation and GI Anesthesia Changes- What do you need to know?

GI Moderate Sedation

In 2017, CMS announced changes regarding moderate sedation for certain GI procedures.  These changes remain the same for 2018.  If you administer moderate sedation while performing certain GI endoscopic procedures: Medicare requires ACG members to report 2 codes on Medicare claims for endoscopic procedures, the code for the endoscopic procedure and a GI-specific moderate sedation code (G0500).  If you use an anesthesia professional, you can simply report the procedural code as you have previously done.

Check out ACG’s Moderate Summary and Educational Tool.  ACG has created a summary of these changes and a chart of impacted codes.

GI Anesthesia Changes

Beginning 2018, the following GI anesthesia codes will be deleted: CPT codes 00740 (Anesthesia for upper GI procedures) and 00810 (Anesthesia for lower GI procedures). The CY 2017 base unit for both upper and lower GI services was 5 base units.  These codes will be replaced with 5 new codes:

  • 00731 (Anesthesia for upper GI, not otherwise specified) = 5 base units
  • 00732 (Anesthesia for upper GI, ERCP) = 6 base units
  • 00811 (Anesthesia for lower GI, not otherwise specified) = 4 base units
  • 00812 (Anesthesia for screening colonoscopy) = 3 base units
  • 00813 (Anesthesia for upper and lower GI during the same session) = 5 base units

Each base unit is approximately $22.

At the State Level: ACG Active on State MOC Legislation
The College is committed to working actively on your behalf with ABIM to shift the focus of the high stakes MOC test into a process of lifelong learning and more relevant to clinical practice.

ACG is also exploring alternatives at the state and national level, working collaboratively with state GI and medical societies, as well as other like-minded organizations.

State Level Action on MOC (scroll to the bottom to view the map for Key State Legislation)

Health Reform and Practice Management Center
From articles to web-based educational programs, ACG provides you with guidance to improve your practice and our profession. This site also hosts an ongoing series of webinars prepared by the experts and fellow ACG colleagues on a variety of topics impacting the GI clinician. Click here to access these materials.

ACG GI Circle
Connect with colleagues and find friends in ACG’s online community. Discuss new research and clinical updates presented at ACG meetings or top-of-mind issues like health care policy and practice management. Learn more.

Coding Information
GI Coding Updates and Informational Articles
2019 Medicare Reimbursement Grid: Physician Fee Schedule (National Average)
Medicare Coding Look-up

Medicare Reimbursement and Quality Reporting Toolkit

Medicare Colonoscopy Cuts
Medicare Reimbursement and Quality Reporting Toolkit
Contact Legislators
FDA Safety Alerts & Recalls
Health Reform Law