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Concern across the medical community about the use of AI to review claims and requests for prior authorization is mounting as the Centers for Medicare & Medicaid Services (CMS) prepares to launch a new prior authorization initiative.
The Centers for Medicare & Medicare Services (CMS) has released Merit-based Incentive Payment System (MIPS) payment adjustment information for the 2024 performance period/2026 MIPS payment year.
On Oct. 1, the National Institutes of Health (NIH) issued a notice titled “Information for the NIH Extramural Community During the Lapse of Federal Government Funding.”
Introducing New CY2026 CPT® Codes Relevant to GI: ESG and Anorectal Physiology Effective January 1, 2026, three new CPT®[1] codes take effect for common GI services.
ASGE joined national physician organizations on a letter to Department of Homeland Security Secretary Kristi Noem urging that H-1B visa graduate medical education trainees be exempt from a new order issued.
Current Medicare telehealth flexibilities that were extended by Congress through September 30, 2025, expired effective October 1 and will lapse unless there is action by Congress.
Cigna’s “E/M Coding and Accuracy” policy (R49 - link) would allow automatic one-level downcoding of 99204–99205, 99214–99215, and 99244–99245 when Cigna deems “encounter criteria” unmet.
Welcome to the inaugural issue of The Advocate, the new ASGE publication focused on advocacy, policy and payment. This newsletter will be delivered to your inbox every other Saturday.
