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Letters |16 November 1999

Sigmoidoscopy Reimbursement

Evan Ashkin, MD

Article, Author, and Disclosure Information
Author, Article, and Disclosure Information
  • University of North Carolina, Chapel Hill; Chapel Hill, NC 27599-7595 (Ashkin)
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TO THE EDITOR:
The article by Lewis and Asch (1) was timely and confirmed my recent experience. I have just opened a community-based family practice office for the Department of Family Medicine at the University of North Carolina, Chapel Hill. In accordance with recommendations for colorectal cancer screening, we wanted to provide office-based screening sigmoidoscopy for our patients. We conducted a break-even analysis, in which we projected our costs and local health maintenance organization and Medicare reimbursement rates, and found that we needed to do approximately seven examinations a month, an estimate very close to that of Lewis and Asch. Our analysis included use of higher-end equipment; for example, because our department is a teaching site, we wanted a scope with a video monitor.
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Ashkin E. Sigmoidoscopy Reimbursement. Ann Intern Med. ;131:792–793. doi: 10.7326/0003-4819-131-10-199911160-00024

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Published: Ann Intern Med. 1999;131(10):792-793.

DOI: 10.7326/0003-4819-131-10-199911160-00024

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1999 American College of Physicians
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