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Manage your gastroenterology practice with expert billing solutions designed for digestive health services ranging from colonoscopies and endoscopies to chronic disease management and diagnostic testing. Focus on comprehensive patient care while we handle your gastroenterology medical billing, including accurate gastroenterology coding (utilizing CPT, ICD-10, and HCPCS codes specific to GI procedures) and efficient gastroenterology claims management.
Gastroenterology practices involve a broad spectrum of services – from screening colonoscopies and diagnostic endoscopies to managing conditions like Crohn’s disease, ulcerative colitis, and GERD. Our specialized approach identifies accurate coding, minimizes claim denials, and keeps your gastroenterology practice billing efficient and your revenue cycle management robust.
Managing the mix of preventive screenings, complex diagnostic and therapeutic procedures, and chronic disease management can overwhelm standard billing systems.
Finding billing staff skilled in CPT codes for various endoscopic procedures, pathology coding, and correct use of modifiers is critical for RCM success.
Incorrect coding for screening vs. diagnostic procedures, incomplete documentation of findings, or improper use of modifiers can lead to significant revenue leakage and audit risk.
Co-pays and deductibles for office visits and out-of-pocket costs for procedures must be tracked accurately to maintain positive cash flow.
Patients with high-deductible plans require precise benefit verification and prior authorization for complex procedures and medications to minimize claim denials.
Denials due to lack of medical necessity, insufficient documentation for procedures, or coding errors demand prompt, specialized follow-up.
Perform specialized audits to guarantee accuracy and compliance for gastroenterology consultations, diagnostic procedures like colonoscopies and endoscopies, and chronic disease management services.
Improve your gastroenterology billing process with our targeted claims submission and scrubbing services. We identify errors before claims leave your system, reducing denials and making sure every service is billed correctly.
Simplify charge entry for the wide range of gastroenterology services. Our system accurately captures office visits, procedures, diagnostic tests, and pathology fees, making sure every service is reflected in your billing for timely payment.
Efficiently post payments (including Electronic Remittance Advice – ERA and Explanation of Benefits – EOB) for all gastroenterology services. Our streamlined process reconciles payments quickly, enhancing your overall revenue cycle management.
Utilize our specialized process for managing and appealing denied gastroenterology claims, addressing Claim Adjustment Reason Codes (CARCs) and Remittance Advice Remark Codes (RARCs). We review claim denials, address coding errors, and promptly resubmit claims to get every dollar owed.
Optimize your collections with proactive accounts receivable management and follow-up on aging AR. Our systems reduce outstanding balances and see that patient accounts are managed efficiently, supporting your practice’s cash flow.
Net Collection Rate
of A/R Less than 30 days
Clean Claims on First Submission
Increase in Practice Collection
or Less Initial Denial Rate
Deliver valuable insights and training to help your staff better manage claims, post payments and. develop standard operating procedures.
Provide fully customized consulting services to medical providers that include medical billing, coding, credentialing, and practice management analytical that help profitability.
Get expert support to navigate the complex process involved in enrolment and credentialing, all at an affordable cost.
Let us manage your billing challenges so you can devote your energy to providing essential digestive health care to your patients. Our expert RCM services promise a smooth revenue cycle and maximized reimbursements.