This study reviewed colonoscopies identified in a claims database from a large national insurer in the United States. The database was queried for commercially insured patients, ages 16 to 64 years, who underwent elective colonoscopy between 2012 and 2017 at a facility and with an endoscopist that were both in-network. <\/p>\n\n\n\n
Of 1,118,769 colonoscopies, 12.1% incurred a claim associated with a \u201csurprise\u201d out-of-network median bill of $418 (interquartile range, $152-$981). Anesthesiologists were involved in 64% of these claims (median potential surprise bill, $488) and pathologists in 40% (median surprise bill, $248). <\/p>\n\n\n\n
An out-of-network claim was more likely in cases involving an intervention than those with no intervention (13.9% vs 8.2%), presumably because of pathology bills. <\/p>\n\n\n\n
In the discussion, the authors remind us that Section 2713 of the Patient Protection and Affordable Care Act eliminates consumer cost-sharing for screening colonoscopy.<\/p>\n","protected":false},"excerpt":{"rendered":"
This study reviewed colonoscopies identified in a claims database from a large national insurer in the United States. The database was queried for commercially insured patients, ages 16 to 64 years, who underwent elective colonoscopy between 2012 and 2017 at a facility and with an endoscopist that were both in-network. Of 1,118,769 colonoscopies, 12.1% incurred … Read more<\/a><\/p>\n","protected":false},"template":"","categories":[1768,1769],"tags":[2058,1822],"class_list":["post-9385","ec-news","type-ec-news","status-publish","hentry","category-asge-journal-scan","category-asge-kolon","tag-colon-2","tag-colonoscopy-2"],"_links":{"self":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news\/9385","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news"}],"about":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/types\/ec-news"}],"wp:attachment":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/media?parent=9385"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/categories?post=9385"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/tags?post=9385"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}