EndoGastric Solutions

a leader in the endoluminal treatment of digestive diseases

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TIF Procedure Reimbursement

EndoGastric Solutions (EGS) has a dedicated team of specialists to help your GERD patients communicate the value of the TIF procedure to key decision-makers at commercial payers at your third party payers. The goal of the team at EGS is to help your patients gain authorization and reimbursement for your services. This process familiarizes payers with the TIF procedure and, over time, works to expand medical policy coverage.

Reimbursement Coding for TIF Procedure with EsophyX Device

2020 CPT Quick Coding Reference
Downloadable PDF: 2020 CPT Quick Coding Reference

EGS offers two levels of services:

  • Consultative Services: EGS provides the tools and training that enables practices to complete their own pre-determinations.
  • Support Services: EGS works in partnership with the practice to execute pre-determinations and all levels of internal and external appeal.

Support Services involve the following:

  • Pre-Authorization including Pre-Determination: EGS offers a full-service TIF Authorization Assistance Program, which includes launching a pre-authorization and pre-determination request. This process ensures the payer reviews the patient’s medical necessity and individual health benefits prior to surgery.
  • Internal Appeal: If a pre-authorization is denied, our goals as a certification team are to get the patient through all levels of internal appeal as quickly as possible and to communicate concisely with all stakeholders involved in the process. Our practice advocates will assist by providing individualized appeal letters, proactive payer follow-up and support, as well as talking points for peer review.
  • External Medical Review: EGS supports the practice and patient through an external medical review by providing process guidance to the patient, talking points for review and a medical literature archive.

At EGS, we are dedicated to advancing surgical intervention for the treatment of GERD. Together, we can educate payers on the limitations associated with open and laparoscopic surgery and help them better understand the benefits of an incisionless approach to fundoplication. We stand ready to assist you and help your patients gain access to the most appropriate therapy.

For authorization assistance, contact us at:
Phone: 425-307-9224
Fax: 425-491-7407

 

Download the TIF Procedure Authorization Assistance Brochure

Reimbursement: Authorization Assistance Program brochure
Authorization Assistance Program Brochure
NP02410-06A

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This site is published by EndoGastric Solutions, Inc., and is intended as an information resource to help increase awareness of GERD-related disorders and the available treatment options. This site is not a substitute for medical advice from your physician. The contents of the site are for informational purposes only and are intended to be discussed with your physician. Never disregard any advice given to you by your physician or other qualified healthcare professional. Always seek the advice of a physician or other licensed healthcare professional regarding any questions you have about your medical conditions and treatments.
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© 2019 EndoGastric Solutions, Inc. All rights reserved. EndoGastric, EsophyX, SerosaFuse and TIF names and logos, are registered trademarks of EndoGastric Solutions.
All other product names and logos are trademarks or registered trademarks of their respective holders.

NP02410-01B

  • Company
    • Overview
    • Management Team
    • Board of Directors
    • Investors
    • Corporate Compliance
    • Careers
  • EsophyX Technology
    • Overview
    • SerosaFuse® Fasteners
    • EsophyX® Device
    • Physician Training & Education for TIF Procedure with EsophyX Device
    • Regulatory Labeling
  • TIF Procedure
    • Overview
    • Society Support
    • TIF vs Antireflux Surgery
    • TIF Procedure Reimbursement
  • Data
    • Overview
    • Bibliography
    • European Bibliography
    • Clinical Research
  • Support
    • Overview
    • Training and Education
    • TIF Procedure Reimbursement
    • Marketing Programs
  • News
    • Press Releases
    • Videos
    • Professional Events
    • Blog
  • Contact
  • Privacy
  • Social Media Policy
  • Terms of Use