Can someone help me? I do billing in Florida for a GI group who does their Colonoscopy and EGDs in a outpatient hospital setting. I was told that BCBS would not cover the EGD’s anymore and wanted these patients to be seen at a surgery center instead. If the patient was coming to our hospital for their colonoscopy screening and it we determined they needed a diagnostic EGD, we would have to send them elsewhere or is there an exception to the rule? If anyone has any answers please let me know
