Endoscopy Suite and Procedure Room
It has been clear during the last few years that medical aids are proposing that all endoscopies are performed in doctors rooms or day clinics. Most medical aids have therefore started to charge a co-payment for any endoscopy that is performed in a theater complex the amount of this co-payment ranges from R1000 to up to R4000 which comes out of the patients savings plan or pocket. I have therefore decided to open my own endoscopy suite in my rooms and have been performing most of my endoscopies there since August 2013 this has decreased costs for the medical aids by about 50-60% but also to the patient, as there is not supposed to be any co-payment.
I use state of the art Olympus video-endoscopy equipment and perform gastroscopies, colonoscopies, and polypectomies in the suite. The suite is equipped with all anesthetic monitoring equipment needed as well as facilities for resuscitation in the very rare instances where it is needed.
The suite is staffed by a fully trained enrolled nurse, who is responsible for patient care, monitoring pre-, peri- and post procedure and administration of the endoscopy suite.
How Does It Work?
A patient will be referred for an endoscopy by his practitioner.
A consultation with Dr De Beer will follow and if he concurs with the need for an endoscopy, a suitable date will be decided on this is usually within a week of the consultation.
Procedure codes and ICD 10 codes will be provided by the practice and the practice will then assist the patient to obtain an authorization number for the procedure.
General rules for endoscopies:
- Patient to be fasting for at least 6 hours before the procedure
- Please ensure that you have somebody to drive you home after the procedure you are not allowed to drive for at least 12 hours after the sedation
- All endoscopies are done using conscious sedation
- Please wear loose, comfortable clothing
- Discuss the need to take chronic medication beforehand with Dr De Beer
- The results of the endoscopy will be discussed immediately after the procedure with the patient by Dr De Beer if biopsies were however performed, there may be a wait for up to a week while the specimens are being processed
- A follow up appointment will be scheduled usually 2-4 weeks after the procedure.