Gastro Groups Vow To Fight Proposed Cuts to CMS’ 2016 Colonoscopy Rates

The American Society for Gastrointestinal Endoscopy (ASGE), American College of Gastroenterology (ACG) and American Gastroenterological Association (AGA) have stated that they will fight cuts to reimbursement rates for colonoscopy and other lower gastrointestinal endoscopic procedures proposed by the Centers for Medicare & Medicaid Services (CMS) for 2016.

If unchanged, the 2016 Medicare Physician Fee Schedule (MPFS) would cut physician work values for the colonoscopy family by up to 19%.

In a joint statement, the ASGE, ACG and AGA asserted that the proposed rates for the colonoscopy code family are not based on data, and described the methodology used to determine physician work and intensity for these services as “severely flawed.”

Gastroenterology & Endoscopy News, July 13, 2015