Procedure FAQ's

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FAQ-s.jpgPlease view the following document for answers to frequently asked questions about endoscopic procedures.

Before Procedure

How early can I begin taking my prep?
What is considered a clear liquid diet?
What should I wear on the day of my procedure?
Should I bring my insurance information and medications that I take with me on procedure day?
How long does it take for the procedure?

During Procedure

What can I expect when I am taken back to the procedure area?
If a polyp is found during the procedure, will it be removed immediately?

After Procedure

Can I drive myself home after the procedure is completed?
Does the person who will be driving me home after my procedure need to stay while I’m having the procedure done?
How soon can I eat after my procedure is over and what is recommended?
Do I need a follow-up appointment?

Billing

Should I bring my insurance information with me on procedure day?
Why is there more than one charge for my endoscopic procedure?
Which pathology group does The Endoscopy Center use?
Which anesthesiologist or group will be providing anesthesia?
Should I call my insurance company to let them know about the procedure?
What is my financial responsibility?
What if I do not have insurance?
What if I have to cancel or cannot make it to the procedure?


How early can I begin taking my prep?
You will receive a prescription upon completing your education/screening. You may be able to take your prep as early as the day before the procedure. Please follow the directions that are provided to you by your nurse.

What is considered a clear liquid diet?
A clear liquid diet consists of coffee and/or tea with artificial sweeteners ONLY – (NO milk, cream or sugar). Other choices are: diet sodas, beef and/or chicken broth, sugar free Jell-O and popsicles. NO SOLID FOODS. If you are diabetic and experiencing symptoms of low blood sugar, you may take small sips of white grape juice. AVOID red or purple food coloring.

What should I wear on the day of my procedure?
Wear clothing that is casual and easy to put on and take off. In most cases, you will be asked to wear one of our patient gowns. Your clothing will be placed in a bag and placed underneath your stretcher. Socks or footies can be worn, but shoes are removed. Eye glasses, contacts, and hearing aids are allowed, but please leave valuables, including jewelry, at home.

Should I bring my insurance information and medications that I take with me on procedure day?
Yes, please bring a list of all medications including dosage you are currently taking, as well as your insurance card and any deductible amounts due.

How long does it take for the procedure?
It normally takes 30 minutes for the actual procedure and less than 30 minutes for your recovery time. We provide music, but some patients enjoy bringing along a good book or magazine to read of their own.

What can I expect when I am taken back to the procedure area?
You will be asked to sign consent forms, give a short medical history, and answer simple questions about your preparation. You will then be asked to use the restroom and disrobe. You may want to bring socks since the procedure area must remain cool. You will be placed on a stretcher for the remainder of the visit. The nurse will go over the procedure, start an IV, and answer any questions you may have. Once you are placed in the procedure room, your vital signs will be taken and monitored throughout the procedure. You will then be placed on your left side, and the intravenous sedation will be given as directed by the Anesthesiologist/CRNA/PA-AA.

The procedure will last approximately 30 minutes. During this time air is used to inflate the stomach and/or colon. This will cause you to feel bloated. We expect you to expel the air in order to feel more comfortable.

Your recovery time is usually less than 30 minutes. We will provide you with a beverage during this time. You will feel drowsy, but you will be able to dress yourself with some assistance. Please be aware, because of the sedation, it is not uncommon for you not to remember much about the recovery process. The physician will speak to your family about the results, with your permission.

Your family member will be asked to bring the car to our side entrance and sign discharge instructions with post procedure and appointment information. You will then be escorted and assisted into the vehicle.

If a polyp is found during the procedure, will it be removed immediately?
Yes. It will then be sent to The Center for Digestive & Liver Pathology Laboratory for testing. If
you have BlueCross BlueShield HMO or POS, your polyp will be sent to LabCorp. Please note that if a polyp is removed, there will be additional charges for the procedure. It may take up to 10 days to receive pathology results.

Can I drive myself home after the procedure is completed?
No, not the day of the procedure as sedation is given which makes it unsafe for you to operate a vehicle or any other type of machinery. You may return to your normal activities the day after the procedure.

Does the person who will be driving me home after my procedure need to stay while I’m having the procedure done?
Yes, following the procedure, the physician will step to the lobby area and speak with the family member/driver. There are often times when the family member/driver is of assistance in other ways.

How soon can I eat after my procedure is over and what is recommended?
You can eat immediately following discharge from our facility UNLESS OTHERWISE DIRECTED BY PHYSICIAN. We suggest you avoid fried or spicy food for the first meal.

Do I need a follow-up appointment?
Follow-up appointments are made on an as-needed basis and are dependent upon the findings of the procedure and/or if there are other health concerns your physician would like to address further.

Should I bring my insurance information with me on procedure day?
Yes, please bring your health insurance card(s).

Why is there more than one charge for my endoscopic procedure?
When a procedure is performed, there will be charges for the physician’s service, as well as a facility charge. You will also receive charges from Coastal Ambulatory Anesthesia, PC and a pathology group associated with the facility.

Which pathology group does The Endoscopy Center use?
If a biopsy is performed or a polyp is removed, The Endoscopy Center uses The Center for Digestive & Liver Pathology Laboratory. It is up to the patient to determine if this service is ‘in-network’ with their insurance. If
you have BlueCross BlueShield HMO or POS, your biopsy/polyp will be sent to LabCorp.

Which anesthesiologist or group will be providing anesthesia?
Anesthesia services will be provided by Coastal Ambulatory Anesthesia, PC. Billing for anesthesia services is done separately from the billing for the services provided by The Endoscopy Center. It is up to the patient to determine if this service is ‘in-network’ with their insurance. When verifying ‘in-network’ status, please reference Coastal Ambulatory Anesthesia, PC. For an estimate of anesthesia charges or other anesthesia billing questions, call InterHealth Solutions, 1-888-233-1493.

Should I call my insurance company to let them know about the procedure?
You may want to call your insurance company to confirm that the Precertification number (if required) is on file. Precertification does not guarantee payment for any services. It only states medical services have been reviewed for medical necessity.

What is my financial responsibility?
You should verify with your insurance company about your deductible amount. In order to be seen, your co-payment and/or co-insurance must be collected. In order for your insurance company to pay for your procedure, your deductible amount must have been met within the given year. The deductible remaining is expected to be collected at time of service rendered. We have payment plans available for patients with high deductible insurance plans; however, the payment plan must be established prior to your procedure. Questions and payment plans can be established by calling (912)303-4200.

What if I do not have insurance?
The Endoscopy Center does offer Discount Plans, including $1,080 up front for Colonoscopies. The appropriate plan must be set up in advance of the procedure. Please keep in mind that if any additional services are provided, such as removing polyps, you will be expected to contact the billing office to finalize a payment plan upon receipt of your first statement. If payment is not received, you could be placed with a collection agency with an additional charge up to 30% of the balance to cover collection fees. Questions and payment plans can be established by calling (912)303-4200.

What if I have to cancel or cannot make it to the procedure?
The Endoscopy Center is commited to providing patients with exceptional care. Patients who cancel without giving enough notice or no show for a procedure, prevent another patient from being seen. Please notify us of any changes or cancellations within 2 days (48 hours) prior to your scheduled procedure time. To cancel a Monday procedure, please call our office by 5:00 pm on Friday. If prior notification is not given, you will be charged a $150 cancellation fee.