Specialized billing for GI procedures. From routine colonoscopies to complex therapeutic endoscopies, we handle the complexities of gastroenterology revenue cycle management.
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Gastroenterology practices face unique billing complexities. Our specialized team understands the intricacies of endoscopic coding and ASC billing requirements.
Multiple procedures during single endoscopy sessions require precise coding and modifier usage to avoid bundling and support accurate reimbursement.
Common Issues:
Proper determination of screening vs diagnostic procedures affects patient copays and deductibles, requiring accurate initial coding.
Our Solution:
Different reimbursement rates and billing requirements for ambulatory surgery centers vs hospital outpatient departments require specialized knowledge.
We Handle:
Comprehensive revenue cycle management tailored specifically for gastroenterology practices.
Colonoscopy Procedures
Comprehensive screening and diagnostic colonoscopy billing
Upper Endoscopy
EGD and upper GI diagnostic procedures
ERCP Procedures
Endoscopic retrograde cholangiopancreatography billing
Flexible Sigmoidoscopy
Lower GI diagnostic and screening procedures
Capsule Endoscopy
Advanced small bowel imaging procedures
pH Studies & Motility
Esophageal and gastric function testing
Screening Program Management
Screening colonoscopy billing and compliance support
Pathology Coordination
Billing coordination with GI pathology labs
ASC Partnership Support
ASC relationship and billing coordination
Billing expertise for healthcare regulations and GI-specific requirements.
Expertise colorectal cancer screening initiatives and payer coverage policies for maximum reimbursement.
Deep understanding of ASC licensing requirements.
Dedicated GI billing specialists who understand the unique challenges of digestive health practices.
When a screening colonoscopy turns diagnostic, such as when a polyp is removed, the coding and modifiers change, and so can the patient's cost-sharing. We review each case so it is billed the way each payer requires.
Yes. We bill upper endoscopy, colonoscopy, and related procedures, with careful attention to modifiers, bundling rules, and documentation.
Yes. We have experience billing both the professional and facility sides for GI practices with their own surgery center, keeping both claims aligned.
Yes. We bill in-office procedures and infusion services, including drug and administration codes, following each payer's requirements.
No. We work inside the practice management and EHR system you already use, so your providers and staff keep their current workflows.
Most practices pay between 4% and 7% of net collections, depending on specialty, monthly volume, and the services included. Flat monthly and per-claim options are also available. Visit our pricing page or request a consultation for an exact quote.