Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
5657143 | Clinical Gastroenterology and Hepatology | 2017 | 36 Pages |
Abstract
The American Gastroenterological Association acknowledges the need for gastroenterologists to participate in and provide value-based care for both cognitive and procedural conditions. Episodes of care are designed to engage specialists in the movement toward fee for value, while facilitating improved outcomes and patient experience and a reduction in unnecessary services and overall costs. The episode of care model puts the patient at the center of all activity related to their particular diagnosis, procedure, or health care event, rather than on a physician's specific services. It encourages and incents communication, collaboration, and coordination across the full continuum of care and creates accountability for the patient's entire experience and outcome. This paper outlines a collaborative approach involving multiple stakeholders for gastrointestinal practices to assess their ability to participate in and implement an episode of care for obesity and understand the essentials of coding and billing for these services.
Keywords
FDAE/MIBTMTMPPACAUSPSTFMNTHIPAAAGACMSHCPCSCPTIGBUnited States Food and Drug AdministrationValueevaluation and managementCurrent Procedural TerminologyAmerican Gastroenterological AssociationIntragastric balloonbundleMedical nutrition therapyPatient Protection and Affordable Care Actmedication therapy managementICDCodingHealthcare Common Procedure Coding Systembody mass indexBMIHealth Insurance Portability and Accountability ActCenters for Medicare and Medicaid ServicesObesityUnited States Preventive Services Task Force
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Authors
Joel V. Brill, Jamile A. Ashmore, Matthew L. Brengman, Daniel E. Buffington, S. David Feldshon, Kelli E. Friedman, Peter S. Margolis, Danielle Markus, Leslie Narramore, Amita Rastogi, Anthony A. Starpoli, Kenneth Strople, Jane V. White, Sarah E. Streett,