Colonoscopy Coding Inconsistencies Create ConfusionUnder the Affordable Care Act, colonoscopies are to be provided without a copay or deductible, but differential billing codes make patient cost more complex, according to Medpage Today.
The Kaiser Family Foundation, American Cancer Society and National Colorectal Cancer Roundtable identified three situations in which patients encountered unexpected cost sharing for colonoscopies. The situations are when a polyp is detected and removed during screening, when a screening is done following a positive stool blood test and when the patient is at increased risk for colon cancer.
Billing codes and classifications vary greatly among providers and payors. This variation could leave patients with between a $1,000 and $2,000 bill to foot.
The sponsors recommend the federal government clarify coding and coverage to eliminate confusion and improve consistency.
More Articles on Coding, Billing and Collections:
Emergency Room Billing Adds $1B to Taxpayer Medicare Burden
Electronic Health Records May Lead to Medicare Overbilling
3 Tips for Designing an ICD-10 Financial Risk Assessment Proposal
© Copyright ASC COMMUNICATIONS 2012. Interested in LINKING to or REPRINTING this content? View our policies by clicking here.
To receive the latest ASC news and feature stories from Becker's ASC Review, sign-up for the free Becker's ASC Review E-weekly by clicking here.
- The 4 "Hanging Chads" of the Patient Protection and Affordable Care Act
- 8 Trends in ASC Payor Rates & Contract Negotiations
- 15 Statistics on Accounts & Cases in Orthopedic-Driven ASCs
- 6 Proposed Legislative Changes Impacting Surgery Centers & Clinics
- Surgery Center of Fairfield County Opens in New Connecticut Location