- You may be, depending on your insurance coverage. Senate Bill 1467 is for preventive screening colonoscopies. Some insurance plans pay 100% of the screening colonoscopy and others only allow $100 or so for preventive screening colonoscopy. You will need to contact your insurance company to see what your benefits are.
- No. This is dangerous since you will have received narcotics and sedatives during your procedure. You must not mix alcohol and these medications.
- No. The bowel prep may dehydrate you. It is important to drink plenty of water or clear liquids during your bowel prep to remain hydrated.
- Yes, you will meet your physician in the office when your medical history and physical is completed.
- Not any longer. There was a prep on the market a few years ago but it was unsafe for many patients, especially those with high blood pressure, kidney disease, etc. AG physicians have decided not to use this prep any longer to assure it will not adversely affect anyone, especially if you have undiagnosed health problems.
- No, this is not allowed at our endoscopy centers. The physician will talk with your designated family or friend immediately following the procedure.
- Should a claim for services be denied, we will assist you in working with your health plan.
- Definitely. You will need to see the physician in the office within 30 days of scheduling your procedure appointment. The physician will do a history and physical to assure that you are healthy and have no medical problems that may make it unsafe for you to undergo the procedure.
- Yes. You can view your account information, download bills, and make payments online. Click here to safely and securely make AG bill payments online. Click here to safely and securely make AG bill payments online. https://austingastro.mygportal.com/PP71/Account/LogOn
- Once your insurance carrier has sent in payment for your visit or procedure, any balances owed will be billed to you. Payment is due upon receipt.
- An EGD typically takes 20-30 minutes. A colonoscopy typically takes 30-40 minutes. You will be at the endoscopy center approximately three hours from arrival until discharge.
- The Endoscopy Center accepts most major insurance coverage plans. If you have a screening colonoscopy and no polyps are removed, the fee for the facility will be approximately $1,500 versus approximately $2,750 - $3,000 at a hospital.
All of these charges are based on the individual having the procedure. Charges will be discussed with the billing department prior to scheduling a procedure. You will learn exactly what you will need to pay, what your insurance is paying, and if any additional fees may apply prior to your procedure.
- Most procedures are scheduled within 1-2 weeks of seeing the doctor for your medical history and physical. It may also be sooner that that time period as well.
- The physician will verbally tell you what was found during the procedure. If any polyps are removed and sent to the laboratory for examination, you will receive that information within 5-7 days following your procedure.
- Your physician will order tests that he/she feels are medically necessary depending upon your symptoms or previous diagnosis. Should any of these tests be considered not medically necessary, you will be asked to review our Advanced Beneficiary Notice explaining the services ordered, the cost of the services and the reason why Medicare may not consider these medically necessary.
Should you choose to proceed with the treatment, you will sign the Notice accepting financial liability for those tests/services.
- It is the patient's responsibility to remit payment at the time of service. We understand that from time to time circumstances can arise that create a hardship. Please speak with a manager BEFORE your clinic visit or procedure if you will be unable to pay your balance in full on the day of your appointment.
- For AG, please contact our administrative office at (512) 420-0186. Leave your name, account number, and a phone number where you can be reached during office hours.
For endoscopy procedures, please contact our administrative office at (512) 420-0186. Leave your name, account number, and a phone number where you can be reached during office hours.
For questions regarding your co-insurance estimate, please contact the office that provided you with the estimate.
- Austin Gastroenterology has its own pathology laboratory that provides pathology services for patients seen at both Austin Endoscopy Centers as well as those patients seen by our physicians at the Oakwood Surgery Center.
Austin Gastroenterology histology laboratory has a highly skilled laboratory staff and board-certified pathologists who provide high quality pathology results. Having an on-site laboratory facilitates direct communication between our endoscopists and the pathologist.
The results of this improved line of communication are better coordination of care for our patients and quick results to the physician. Austin Gastroenterology histology laboratory is CLIA certified and contracted with most major insurances.
- You must first see your primary care provider for your illness. If your PCP feels it appropriate, his/her office will contact your health plan to order a referral. This referral must be on file with our office by the day of your visit. If not, you will be financially responsible for services provided during that particular visit.
- Each health plan varies in regards to coverage of colon cancer screenings.
Some health plans pay 100 percent for AVERAGE RISK colonoscopies. Average risk means that you have no personal or family history of colon cancer or colon polyps. If you do have a personal history or family history of colon cancer or colon polyps, you are considered as being HIGH RISK, which some health plans do NOT cover at 100 percent. These services will be applicable to deductibles and coinsurances.
Bx: Biopsies are considered a lab service. Please check your benefits package to find how these services will be covered.
MAC: This is dependent upon your ASA classification. If you are a three or higher, your insurance will most likely cover this service. Please check with your health plan.
- You will definitely need to bring someone with you to the Center. If you give permission, the doctor will discuss what they found during the procedure with the responsible adult/family/relative/spouse, since you will not remember what you are told due to the medications you received during the procedure. Additionally, you will not be allowed to drive or take a taxi home without a responsible adult with you.
- Warning signs may include abdominal pain, change in bowel habits, rectal bleeding, chronic constipation, or diarrhea.
- This will depend on your physician directions but most patients may resume their normal diet. You may be asked to avoid spicy or greasy foods for the next several hours.
- There are many variables to this question depending upon the services provided. You will be provided with a co-insurance estimate prior to services being rendered.
- The physician will remove the colon polyp and send it to the laboratory for an examination.
- This listing may not include all plans Austin Gastroenterology accepts. Please contact an AG office if your plan is not listed.
ARIA/Physicians Health Choice
BCBS Par Plan
BCBS HMO Blue
Seton Health Plan
Seton Physician Health Network
Texas True Choice
- The most important aspect of the colonoscopy is to be able to see the interior lumen of your colon. It is extremely important to have a "clean" colon. The colon prep is a type of laxative that will cause the colon to empty of all debris so the physician may see all of the tissue within the colon.
You will receive complete bowel prep instructions when you make your colonoscopy appointment. We also offer a same-day bowel prep option.
- As a courtesy, AG will file health insurance claims to your health plan. You will be financially responsible for satisfying co-payments, deductibles, and co-insurances. Learn more > https://www.austingastro.com/for-patients/financial-policies/patients/financial-policies/
- Co-insurance is the percentage that you are responsible for according to your health plan. For example, your insurance covers 70 percent of the allowable fee for a specific service. You are responsible for the remaining 30 percent. This is called co-insurance. Co-insurance is not a co-payment.
- The flexible sigmoidoscopy (flex-sig) is a short examination of the lower one-third of the colon, while the colonoscopy examines the entire colon.
The flexible sigmoidoscopy usually does not involve sedation. The colonoscopy involves conscious sedation so that the patient will be more comfortable during the procedure.
The colonoscopy is more accurate for colon cancer screening. The flexible sigmoidoscopy may miss 25 percent of polyps in the screening population of normal risk patients over 45 years of age.
- Upper endoscopy or EGD (esophagealgastrodudonoscopy), dilation of the esophagus for strictures (narrowing), screening colonoscopies, and therapeutic (removing polyps) colonoscopies are performed at the endoscopy centers. The physicians perform several other procedures in the hospital.
- You will meet several clinical staff during your visit, including CGRNs (certified gastroenterology registered nurses) and GTSs (gastroenterology technical specialists/endoscopy technicians). You will also meet the front office staff that will check you in and assist you with completion of all needed paperwork. All of our staff have additional training that is GI specific, as well as ACLS (advanced cardiac life support) and BLS (basic life support).
- Your procedure may be cancelled. It is dangerous to receive sedation if you have had something to eat or drink before your procedure. It will also cause your bowel prep to be ineffective.
- Our offices will contact your health plan to obtain this information. Please be advised that this information can change on a daily basis, dependent upon any other health claims that have been processed on your behalf from other healthcare providers. We provide this information as an estimate only.
- The medication that you are given to relax you and relieve any pain during the procedure may cause you to forget events, and may impair your judgment and reflexes. If you attempt to drive it you will be considered "driving under the influence."
- We do not want you to lose or misplace it. Additionally, it is not allowed if the doctor has to remove a polyp. The physician will use a cautery to assist in the removal of the polyp. This cautery may be dangerous if you keep your metal jewelry on during the procedure.
- You are awake and able to hear and follow commands but you will not feel any pain.
- Yes, you will receive pain and sedation medications.
For procedures requiring anesthesia, you must have a responsible adult stay with you on the day of your procedure and take you home post-procedure. If you do not have someone to drive you, Austin Gastro has access to several approved and reliable transportation services. These approved transportation companies are:
Bright Star Care - (512) 452-9800
Nurses Unlimited - (512) 380-9339
Family Eldercare - (512) 450-0844
Life Made Easy - (512) 459-5631
Halcyon Home - (512) 815-9009 *Needs 24 hours notice
- No, you will not be kept overnight in the endoscopy center.