2018-03-08 18:30:50 UTC

Advocate CMS, close the colonoscopy loophole

March 8, 2018

AGA urges CMS to address the cost sharing problem that arises when screening colonoscopies become diagnostic for Medicare patients.

In honor of Colorectal Cancer (CRC) Awareness Month, we ask doctors and patients to join AGA in contacting the Centers for Medicare & Medicaid Services (CMS) and urging them to close the colonoscopy loophole.

Under Medicare, removal of any polyp during a screening colonoscopy reclassifies the screening as a therapeutic procedure for which patients must pay coinsurance. This means a patient can go to the gastroenterologist for a colonoscopy assuming it’s free, only to receive a bill for the coinsurance after the doctor finds and removes a suspicious polyp.

Tell CMS it’s time to close the colonoscopy loophole.

This link will prompt you to a new page with a form and pre-drafted letter. Please feel free to edit and personalize the email based on your professional or personal experiences.

Screening saves lives, but the financial barriers to screening can prevent beneficiaries from accessing lifesaving screenings. Screening colonoscopy is the most cost-effective test for prevention of colorectal cancer. Patients should be incentivized, through the elimination of cost sharing, to use colonoscopy as a colorectal cancer screening mechanism.

More on Colonoscopy

2018 AGA Postgraduate Course

June 2, 2018

Secure your spot for this clinically focused, multi-topic course that offers immediately applicable information. Held in conjunction with DDW®. Save $75 when you register by April 18.

Choose from 30 breakout sessions at the 2018 AGA Postgraduate Course

March 22, 2018

Delve deeper into specific clinical topics that interest you and get concrete action items that can be immediately implemented into your practice.

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Life matters — by making the choice to get screened, colorectal cancer can be prevented