Payor Policy & Coverage Comment Letters
The AGA Institute is committed to ensuring that physicians and their patients have access to clinically effective diagnostic and therapeutic tests and procedures. We periodically receive requests from payors and Medicare contractors to review and provide comments and feedback regarding language and coverage determinations in their draft medical policies. In addition, we conduct ongoing review of coverage determinations that impact gastroenterology.
As part of our commitment to transparency, letters from the AGA Institute regarding coverage issues will be available on this page.
One letter on each issue is linked below. For copies of letters to additional payors listed, please contact Adam Borden.
|
Topic
|
Payor(s) | Date |
|---|---|---|
| GI Motility - Gastric Electrical Stimulation | BCBS MS | 08/16/10 |
| Esophagus - Wireless Esophageal pH Monitoring |
BCBS MS, AL, ND, SC, MA, Blue Shield of CA |
07/15/10 |
| GI Motility - Gastroparesis | United Healthcare | 07/09/10 |
| Liver - Radioembolization for Primary and Metastatic Tumors of the Liver | WellPoint, Inc. | 06/03/10 |
| Esophagus - Radiofrequency Ablation for Barrett's Esophagus | BCBS AL, Highmark, Horizon | 05/21/10 |
| Anorectal - High-Resolution Anoscopy Screening for Anal Intrathelial Neoplasia and Squamous Cell Cancer of the Anus | WellPoint, Inc. | 05/15/10 |
| Esophagus - Wireless Esophageal pH Monitoring | BCBS MA | 02/01/10 |
| Esophagus - Radiofrequency Ablation for Barrett's Esophagus |
Calif. Tech. Assessment Forum |
01/12/10 |
