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Practice Management

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  • Advancing Chronic GI Care: Strategies and Insights for GI Physicians

    Gut issues are on the rise in the U.S., impacting an estimated 60 to 70 million Americans. According to research conducted by the American Gastroenterological Association (AGA), 40 percent of Americans put off daily activities due to bowel issues.

  • 91ƵAnswers Your Coding Questions

    A provider asked if 46221 can be billed twice in one visit for different hemorrhoid degrees (e.g., 46221 K64.1 and 46221-59 K64.2). Coding software accepted it, but is this valid coding practice for the same procedure on different hemorrhoid sites?

  • Addressing Cancellations and No-Shows

    The endoscopy department has been seeing a high percentage of cancellations/no-shows over the past few years. One factor that the GI and endoscopy department lacked was a registered nurse (RN) to prep patients, answer questions and confirm appointments.

  • Case 21: Liver

    A 46-year-old white male presents with a complaint of “abnormal liver labs.” He states his liver labs have been slightly elevated over the past nine months. He is asymptomatic.

  • Beyond the Office Visit: Enhancing Patient-Doctor Relationships in the Age of Information and Limited Resources

    In today’s rapidly evolving health care landscape, the patient-doctor relationship is more important than ever.

  • How Artificial Intelligence Can Enhance Operational Efficiency and Prevent Physician Burnout in Gastroenterology

    An analysis of the benefits and challenges of implementing artificial intelligence solutions in gastroenterology practices.

  • Readmission and Adverse Event Reporting

    Our thanks to Pravina Khant, MSN, RN, who shares a detailed review of the readmission and adverse event reporting system Hartford HealthCare Digestive Health Institute has implemented across its system.

  • Case 20: Esophagus

    A 35-year-old White male with no significant medical history presented to the emergency room with a complaint of “I can’t swallow.” Approximately two hours ago, while eating chicken for dinner, he suddenly had trouble swallowing.

  • Prioritizing Your Health and Wellness for Optimal Patient Care

    The field of gastroenterology, like many other medical specialties, is undergoing a gradual but significant transformation. However, one area that remains a challenge is the underrepresentation of women in leadership roles.

  • 91ƵAnswers Your Coding Questions

    The patient has a J-pouch, and the physician states in his procedure notes that the scope was advanced through the anus to the ileorectal anastomosis, and “J-Pouch seen, Ileum” (exact words in the notes).

  • Documenting Anticoagulation Recommendations Postprocedure

    To monitor the physician's procedure report and the patient's discharge report for documentation that patients taking an anticoagulant (i.e., Coumadin, Xarelto, Eliquis, Plavix) before the procedure are instructed on when to resume it after the procedure.

  • Case 19: Esophagus

    A 45-year-old male presents with a complaint of “heartburn.” He has experienced symptoms of substernal burning three to five times per week over the last 18 months.

  • Shaping the Future of Gastroenterology: Empowering Female Leaders

    The field of gastroenterology, like many other medical specialties, is undergoing a gradual but significant transformation. However, one area that remains a challenge is the underrepresentation of women in leadership roles.

  • Diversifying GI Practice Revenue

    In the ever-evolving landscape of health care, the need for diversifying income streams in gastroenterology practices has never been clearer.

  • Improving the Show Rate and Quality of Bowel Preparation Via One-Way Text Messaging

    No-shows and inadequate bowel preparations (prep) lead to a significant waste of resources in endoscopy centers. While printed prep instructions and preprocedural nursing phone calls are often used to prevent this, they are not always successful.

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