SCREENING COLONOSCOPY INDICATIONS

THE PUBLIC IS HAVING A PROBLEM WITH THE TERMINOLOGY OF SCREENING COLONOSCOPY. THE DEFINITION OF SCREENING IS BASED ON THE INDICATION THAT A PATIENT HAS REACHED THE AGE OF 50 YEARS OLD AND NOW HAS THIS RISK FACTOR FOR COLON CANCER.  PATIENTS THAT HAVE BLOOD IN THEIR STOOL , A HISTORY OF COLON POLYPS OR A FAMILY HISTORY OF COLON CANCER ARE NOT HAVING  SCREENING. THESE PATIENTS ARE HAVING A DIAGNOSTIC COLONOSCOPY.

PHYSICIANS REFERRING PATIENTS FOR COLONOSCOPY SHOULD BE CAREFUL ABOUT USING THE WORD SCREENING. PATIENTS ARE FREQUENTLY SENT FOR A SCREENING COLONOSCOPY BUT ACTUALLY SHOULD BE HAVING A DIAGNOSTIC COLONOSCOPY. PATIENT WILL OFTEN BECOME INDIGNANT WHEN I TRY TO EXPLAIN THAT THEY ARE NOT HAVING A SCREENING COLONOSCOPY. PATIENTS PREFER THE SCREENING DIAGNOSIS BECAUSE INSURANCE CARRIERS WILL PAY 100% OF THEIR SURGEON AND HOSPITAL FEES.  DIAGNOSTIC COLONOSCOPY FOR BLEEDING OR A KNOWN HISTORY OF POLYPS IS PAID AT THE USUAL 80% OF CHARGES AND FEES.

CONVERSLY ,  THE INSURERS HAVE DECIDED TO PAY THE SURGEON AND THE HOSPITAL CONSIDERABLY LESS FOR A SCREENING COLONOSCOPY THAN A DIAGNOSTIC COLONOSCOPY. THIS IS A WIN-WIN ARRANGEMENT FOR THE PATIENTS AND THE INSURANCE COMPANIES.

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