2017-10-04 21:06:45 UTC

Closing the Colonoscopy Loophole

Oct. 4, 2017

AGA committee member Shazia Mehmood Siddique’s Philadelphia Inquirer op-ed explains how current legislation is hurting patients.

AGA applauds Shazia Mehmood Siddique, MD, for her recent op-ed in Philadelphia Inquirer that sheds light on the “colonoscopy loophole.”

What is the Colonoscopy Loophole?
The Affordable Care Act covers screening colonoscopies at no cost to patients as long as no polyps are found. As Dr. Siddique explains in her article, finding a polyp changes the billing code to a therapeutic colonoscopy, a reclassification that changes the procedure from a diagnostic screening to an intervention. And this means a bill is generated. This reclassification directly affects those covered by Medicare and not commercial insurers.

AGA Leaders Urge Congress to Correct this Problem
Dr. Siddique — a member of the AGA Trainee and Early Career Committee and AGA Clinical Guidelines Committee — joined other AGA leaders for AGA Advocacy Day in late September where they spoke directly to lawmakers about patients who are blindsided by this regulation. AGA supports closing this loophole to ensure patients continue to have access to quality care and preventative screenings. We encourage all members to continue to share their patient stories, like Dr. Siddique has, to help raise awareness of this issue.

AGA Can Help You Advocate for GI
Watch an AGA webinar (login required) to learn more about how to set up congressional meetings in your district, or contact Navneet Buttar, AGA government and political affairs manager, at nbuttar@gastro.org or 240-482-3221.  

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.

AGA and Sociedad Argentina de Gastroenterología joint meeting in Buenos Aires, Argentina

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AGA members will be presenting on a range of topics including esophageal disorders colonoscopies.

Ready for the “Jimmy Kimmel effect”?

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AGA leader Dr. Christina Ha performed Jimmy Kimmel’s first colonoscopy. Here’s the clip.