Gastroenterology Billing Services

Gastroenterology billing encounters specific difficulties which include:

✔ Complex procedure coding (screening vs. diagnostic colonoscopies)

✔ Modifier misuse (e.g., -33 for preventive services, -59 for distinct procedures)

✔ Prior authorization requirements for many GI procedures

Payers deny a significant number of endoscopy service payments.

The healthcare field requires regular coding code version updates to include ICD-10 and CPT changes.

The medical practice faces two main risks regarding compliance with obligations to Medicare programs and commercial insurance organizations.

The specialized GI billing services we provide handle all these difficulties to yield optimal reimbursement results.

Gastroenterology billing presents specific hurdles because of the following reasons:

✔ Complex procedure coding (screening vs. diagnostic colonoscopies)

✔ Modifier misuse (e.g., -33 for preventive services, -59 for distinct procedures)

✔ Prior authorization requirements for many GI procedures

Endoscopy service claims face extraordinarily high payer rejection rates.

The diagnostic sector must deal with regular changes to ICD-10 and CPT coding codes.

Medical compliance risks involve both Medicare as well as commercial payer standards.

Your practice will receive optimized reimbursement through our GI billing solutions that deal with every specific operational challenge.

Healthcare billing companies take charge of complete ambulance billing activities through their partnership with EMS providers within outsourced ambulance billing models. The billing process involves multiple functions such as patient data processing as well as insurance verification and claim submission and payment registration and unpaid claim pursuit. The outsourcing process allows EMS agencies to prioritize patient care through their expertise with billing companies as these partners maximize revenue stream management and maintain regulatory compliance for the agencies. ​

GI billing specialists offer these main benefits when outsourced by medical practices:

✔ Higher revenue through expert coding and fewer denials

Smaller expenses exist when outsourcing billing functions instead of maintaining staff within the organization.

✔ Latest technology without expensive software investments

The outsourcing of this responsibility to knowledgeable specialists reduces medical staff stress.

The practice's ability to adapt through both practice expansion as well as periodic patient influxes represents one of its benefits from outsourcing medical billing services.

Practices generate their Return on Investment through outsourcing procedures over a period of 3-6 months.

Our established denial management system includes the following process:

Our system delivers immediate alerts for identifying denied claims during automation.

The analysis investigates underlying causes to stop claims from being denied again.

Fast appeals with clinical documentation

The approach focuses on developing payer-specific methods from analysis of denial patterns.

A set of preventive measures exists to prevent future claim denials.

The recovery rate of appealable medical insurance claims at our practice exceeds 96% which stands significantly higher than industry norms.