Gastroenterology
Medical Billing Services
Maximize Revenue in Digestive Health Practices
Gastroenterology specific Medical Billing, Coding, Practice Management & RCM Solutions that boost profitabilty & improve patients experience.
It is essential for Gastroenterologists to be updated on various coding and billing guidelines and payer-specific protocols to run a compliant and financially successful medical practice. Billing and coding for Gastroenterology is challenging and requires an extensive amount of knowledge to ensure maximum reimbursement.
These challenges include billing for colorectal cancer screenings vs. colonoscopies, motility, and GI function studies, documenting proper levels of evaluation and management services, category III codes for treatment of GERD, and applying the use of modifiers -51, -59, and -26.
Additionally, Gastroenterology billing and endoscopy billing requires the ability to track underpayments effectively. This requirement often exceeds the competency of most billing software and in-house billing staff. GI practices that don’t effectively target underpayments face massive revenue hemorrhage.
Our coders are expert in Gastroenterology and are able to apply correct CPTs to avoid denials such as:
CPT code 43234
Applied for similar purpose as CPT code 88375 (used for optical endomicroscopic imaging) but both are mutually exclusive
CPT code 43206
(Using capsule endoscopy) revised in 2013 by CPT code 91112 (using wireless capsule endoscopy with pressure measurements)
CPT code 91111
(Upper GI simple examination) replaced by CPT code 43235 (Upper GI includes esophagus, stomach, & either the duodenum and/or jejunum as appropriate; diagnostic)
It increases efficiency and decreases the amount of time needed to correctly bill services rendered, technology foundation and a team that focuses on providing data-driven solutions to ensure fewer denials and increased revenue.
Specialty Billing Services Florida
Our medical billing services in Florida can help you increase your revenue by reducing the number of denied and unpaid claims. Our billers in major cities like Gainesville, Jacksonville, Miami, Tampa, St. Petersburg and Orlando can provide you with less paperwork and more accurate medical claims to improve the efficiency of your practice.
Want to enhance the financial health
of your Gastroenterology Practice?
With specialized knowledge in gastroenterology billing, our team provides tailored solutions that navigate complex coding requirements and optimize revenue.
Explore More of Our Services
