CMS - Friend or Foe? The Cologuard Controversy

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Unraveling Medical Coding

Piyush Sheth

17 episodes

5 days ago

Join Neal Sheth and Dr. Piyush Sheth, a general surgeon with 28 years' experience, as they discuss the nuances of medical coding. This father-son duo talk about the complexities of medical coding and how to streamline the process and reduce the time and effort required to submit clean claims and get paid faster. They also talk about medical record documentation best practices. www.unravelingmedicalcoding.com

Medicine

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Medicine

Health & Fitness

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CMS - Friend or Foe? The Cologuard Controversy

Unraveling Medical Coding

12 minutes 50 seconds

7 months ago

CMS - Friend or Foe? The Cologuard Controversy

Coding rules for Colonoscopies are complex, especially those relating to Screening Colonoscopies. The Cologuard test is becoming more popular as a non-invasive colorectal cancer screening test. On January 1, 2023, CMS changed its payment policy regarding Colonoscopy after a positive Cologuard test. This rule change has been widely misinterpreted. This episode explains how the host, Piyush Sheth, MD, resolved the controversy.

CMS Response to Dr. Sheth link:

https://drive.google.com/file/d/1glZ5xEoDhm8ZYvEHZpBzkSwF_4Ch5-Hm/view?usp=sharing