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Payer Pressure: Anthem’s Facility Administrative Policy—Implications for GI Practices
October 30, 2025
Effective January 1, 2026, Anthem will implement a new Facility Administrative Policy in several states that targets the use of non-participating (out-of-network) physicians in facility-based settings.
Administration Issues Clarifying Guidance on H-1B Petitions
October 30, 2025
USCIS published additional guidance regarding H-1B petitions following the issuance of a proclamation on Sept. 19, 2025 that orders prospective employers to pay an additional $100,000 fee for new H-1B petitions for workers abroad, from Sept. 21, 2025.
�� Lends Support to New Indirect Research Cost Model
October 30, 2025
��, alongside nearly 300 organizations, is asking Congress to support a new model for ensuring that institutions’ essential scientific research costs are adequately supported.
Government Shutdown Could Delay Medicare Rules
October 30, 2025
With the federal government shutdown now entering its fifth week, there is the possibility the CY 2026 final rules could be delayed. Even if the rules are delayed, their effective date will still be Jan. 1, 2026.
GI Billing Playbook: Your Guide to Coding, Reimbursement & Payment
October 17, 2025
As you prepare to transition into full clinical practice, understanding the business side of medicine — including coding, reimbursement, and payment — is essential.
�� Member Alert: Downcoding of E/M: What GI Physicians Need to Know
October 16, 2025
Downcoding occurs when a payer automatically reduces a submitted claim to a lower E/M level, often via automated edits and without chart review, resulting in underpayment.
ACA Enhanced Tax Credits to Expire without Action by Congress
October 16, 2025
�� has joined more than 90 medical specialty societies and state medical associations in a letter to congressional leaders urging extension of the enhanced premium tax credits (EPTCs).
CMS Prepares to Launch Prior Authorization Models for Select PFS and ASC Services
October 16, 2025
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.
Now Available: 2026 MIPS Payment Adjustment Information
October 16, 2025
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.
Education Corner October 2025
October 16, 2025
The Future of GI Fellowship Education is Here! GI Program Training Directors: Help your fellows thrive in the field of GI endoscopy with access to the latest GI content available through ��’s Gastrointestinal Endoscopy Self-Assessment Product (GESAP).
IBD: A Field of Discovery, Growth, and Deep Patient Connection
October 16, 2025
I chose to specialize in inflammatory bowel disease (IBD) because it is one of the most dynamic and rewarding areas in gastroenterology.
Inside Advanced Endoscopy with Dr. Mohammad Bilal
October 16, 2025
The ability to intervene in someone’s disease course with your hands (endoscope) really inspired me to pursue interventional endoscopy. While every specialty is equally important in medicine, this feeling is what made me choose interventional endoscopy.
�� Answers Your Coding Questions
October 8, 2025
A provider wants to do an office visit the same day as the patient’s infusion since the patient is coming back from college. If we do that, can we add a modifier to get paid for both?
Increasing Withdrawal Time
October 8, 2025
Successful applicants to the �� Endoscopy Unit Recognition Program submit a summary of a recently conducted quality improvement (QI) project as part of the application process.
Case 31: Painful, Leaking PEG Tube
October 8, 2025
A 30 year-old male with a history of cystic fibrosis and PEG tube dependency presents to clinic with complaints of difficulty using PEG tube, leaking around tube and abdominal pain.

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