Upcoding and Anesthesia Risk in Outpatient Gastrointestinal Endoscopy Procedures

have been safely provided in primary care settings, but it is unknown if these individuals had timely access to primary care services. Nevertheless, the findings by Hsia and colleagues3 suggest that there is some uncertainty during ED triage assessment of visit urgency and policies that are based on this assessment must take this uncertainty into account or risk unfairly, and inappropriately, imposing cost-sharing penalties.