BROWSE CASE STUDIES Case Studies > Colon Cancer Screening and Colonoscopy Billing

Colon Cancer Screening and Colonoscopy Billing

December 2020

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Most individuals being screened for colon cancer have a two-step process, the fecal screener and, if positive, a colonoscopy. According to the United States Preventive Services Task Force (USPSTF), both of these are considered screening procedures and should be covered as preventive care at $0 for the member. This analysis helps to answer, of the people who have a fecal screener: 1. How many insured lives in Colorado have a colonoscopy within a year?, and, 2. How many of those who have a colonoscopy pay a co-pay or co-insurance?