Changes in Medicare Reimbursement for Common Gastroenterology Services Over 15 Years: 2007-2022.

Khunte, Mihir; Dang, Nhu; Zhong, Anthony; Kumar, Soryan; Kamp, Kendra; Shah, Samir A · Am J Gastroenterol · 2022

retrospective_cohort · Level III

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Abstract

We evaluated trends in Medicare reimbursement for common gastrointestinal (GI) services from 2007 to 2022. Top GI procedures and office/inpatient visits were identified. The Physician Fee Schedule Look-Up Tool from Centers for Medicare & Medicaid Services was queried to extract reimbursement data. Reimbursement trends were analyzed, accounting for inflation. GI procedures exhibited an average decrease in unadjusted and adjusted reimbursement of 7.0% and 33.0%, respectively. Reimbursement for patient visits exhibited an inflation-adjusted decrease of 4.9%. The analysis revealed a steady decline in adjusted reimbursement for both GI procedures and patient visits in the past 15 years.

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