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A new KFF analysis of the first year of federally mandated insurer reporting finds average 2025 denial rates of 12% in Medicare Advantage, 14% in Medicaid managed care, and 18% in ACA marketplace plans.
Epic has launched a tool that lets clinicians instantly check inside the EHR whether an insurer requires prior authorization for a treatment eliminating the need for phone calls, faxes, or hunting through payer portals (Epic).
Watch the latest Visual Digest video featuring GI physicians sharing the advice they wish they had received earlier in their careers. From clinical pearls to professional growth, these reflections offer practical wisdom and valuable perspectives.
Few pages test a GI fellow's triage instincts like the call for a swallowed object or a steak stuck since dinner. Foreign body ingestion (FBI) and esophageal food impaction (EFI) sit alongside GI bleeding among the most common nonbiliary GI emergencies.
Acute gastrointestinal (GI) bleeding is one of the most common emergencies encountered during training. Whether called to evaluate hematemesis in the intensive care unit or hematochezia in the emergency department, the priority is stabilizing the patient.
Gastroenterologists frequently evaluate patients whose condition ultimately requires an endoscopic procedure on the same day. When may the physician separately report the evaluation and management (E/M) service with modifier 25?
Advance your GI career with ASGE’s 2026 programs featuring career planning, advanced endoscopy training, the Global GI AI Summit and free case-based learning. Register to connect with experts, build skills and prepare for practice.
Your GI division has had three APP departures in 18 months. Each vacancy takes an average of six months to fill, and newly hired APPs require an additional 6 months of informal onboarding before they can practice with any degree of independence.
Can you please confirm whether an EGD performed solely for capsule placement is included in the capsule endoscopy and not separately billable, while a medically necessary diagnostic EGD performed for a separate indication may be billed separately?
The Senate has passed a short-term Fiscal Year 2027 spending bill, also referred to as a continuing resolution (CR), to avert a federal government shutdown on October 1 — the start of the fiscal year.
Legislation, titled the Patients First Act (H.R. 9693), has been introduced in the House by leaders of the GOP and Democratic Doctors Caucuses that would reform the Medicare physician payment system and Quality Payment Program.
Senate and House congressional committees have advanced legislation that would require certain health care providers, including ambulatory surgery centers (ACSs) to publicly disclose their prices.
The Medicare Advantage (MA) market continues to contract as several insurers reduce their geographic footprint or discontinue products for the 2027 plan year.
CMS has ended the Part D Premium Stabilization Demonstration, a program launched in 2025 to stabilize stand-alone prescription drug plan premiums under the Inflation Reduction Act.
In a strongly worded and comprehensive letter to the Office of Management and Budget (OMB), ASGE, along with the other GI medical societies, urged for withdrawal of a proposed rule that would make sweeping changes.