Gastroenterology Billing Services
That Strengthen Your Revenue
It requires a lot more than just processing claims to effectively manage billing for a gastroenterology practice. Many practices are overwhelmed by the volume of procedures, payer-specific policies, and coding requirements. At iSolve RCM, the best gastroenterology billing company, we specialize in gastroenterology billing services that eradicate these challenges, improve financial performance, and allow healthcare providers to focus on what matters most while delivering excellent patient care.
- Medical Coding
- Medical Credentialing
- Medical Billing Audit
- Denial Management
Outsource Gastroenterology Medical Billing Solution for Better Cash Flow
Every gastroenterology service, whether it is diagnostic endoscopies or an advanced treatment, all of them require precise billing. Errors in this part might immediately result in reimbursements getting pushed back or claims being turned down. That is why we bring unmatched expertise to your practice. Outsourcing your gastroenterology medical billing to a company like iSolve RCM helps fix most of your billing challenges. We deliver gastroenterology medical billing services that handle both routine and complex procedures. Each claim is double-checked to meet with payer-specific requirements, minimizing costly rejections. We make sure that procedures like colonoscopies, biopsies, and capsule endoscopies are billed with the precise modifiers and supporting documentation. Transform complexity into clarity with our gastroenterology billing services that know your specialty inside and out.
Denial Management
Our denial management professionals carefully examine the denied gastroenterology claims, identifies the exact reason for the denial, and then applies the changes that are needed before resubmitting the claim. We are able to successfully recover lost revenue for gastroenterology practices and avoid future denials through analysis of payer behavior and administrative challenges.
Complete Gastroenterology Revenue Cycle Management Solution That Works
Our gastroenterology revenue cycle management solution helps providers from the very first visit through to the final payment.
Accounts Receivable Management
We analyze the aging report on a daily basis and focus on high-value gastroenterology claims to speed up the reimbursement process. Our proactive communication with insurance companies helps to minimize outstanding accounts and stabilize cash flow for your practice.
Medical Coding
Our certified billers and coders assign proper CPT, ICD-10, and HCPCS codes specific to gastroenterology procedures. Proper coding will prevent non-compliance, ensure reimbursement, and protect your practice in the event of an insurance audit.
Medical Billing Audit
Our internal audits examine the processing of gastroenterology claims, the quality of documentation, and the patterns of payments. This enables us to point out revenue leaks and improve the revenue cycle as a whole.
Medical Credentialing
We handle enrollments, revalidations, and updates to ensure continuous payments. Proper credentialing helps to avoid denied claims and ensures that gastroenterology providers remain active on all major insurance networks.
Uncover Hidden Revenue in Denials
Denied claims are not lost revenue; they are missed opportunities waiting to be recovered. Our denial management experts review, correct, and resubmit all eligible denied claims so that your practice receives the revenue it deserves.
Experience Gastroenterology Billing Without Any Stress
Your healthcare practice is able to concentrate on patients while revenue flows precisely and smoothly if you let our medical billers take care of your claims, coding, and reimbursements.
Our Gastroenterology Medical Billing and Coding Services
Gastroenterology medical billing and coding services help providers get paid correctly and on time. Our services make sure all procedures and diagnoses are coded precisely, reducing errors and speeding up insurance claims.
Precise Procedure Coding
- We properly code routine GI procedures such as colonoscopy (CPT code 45378) and upper endoscopy (CPT code 43235) to ensure that the claims are processed successfully.
- Special procedures such as polyp removal (CPT code 45385) are properly coded to prevent any delay in the payment of claims.
Correct Diagnosis Coding
- We assign the correct diagnosis codes, such as GERD (ICD-10 K21.9) and Crohn’s disease (ICD-10 K50.90), to the procedures performed.
- We ensure that the insurance company understands the reason for performing a procedure, which helps in correct payment.
Endoscopy and Colonoscopy Claims
- Claims for procedures such as biopsies (CPT 43239) and colonoscopies (CPT 45380) are processed with the correct codes.
- We ensure that preventive and diagnostic procedures are coded separately to prevent errors.
Insurance and Pre-Approval Help
- We determine if insurance pays for procedures such as ERCP (CPT 43260) before they are performed.
- We take care of the paperwork required for approval so that patients and physicians are not left surprised.
Denial Fixing and Follow-Up
- When there is a denial of claims, we determine the reason for the denial and make any necessary corrections related to coding and documentation errors.
- We resubmit the claims for procedures such as upper endoscopy (CPT 43235) and colonoscopy (CPT 45378) to ensure that the practice receives the payment it deserves.
Reports and Revenue Tracking
- We provide reports that are easy to comprehend to indicate which procedures are generating the most revenue.
- This will help the practice understand which claims are successful and which ones require improvement, even for tests such as motility studies (CPT 91112).
Common Gastroenterology Billing Challenges and Our Solutions
| Challenges | Solution |
|---|---|
| Missing Documentation | The gastrointestinal procedure notes are scrutinized by our team of professionals before submitting claims. We address coding errors and follow payer requirements for proper gastroenterology claims. |
| Modifier Errors | Certified coders use the proper modifiers for colonoscopies and endoscopies. Comprehensive audits protect gastroenterology practice revenue while preventing denials. |
| Slow Collections | We immediately follow up with payers and keep a close eye on pending gastroenterology claims. This increases cash flow for gastroenterology practices. |
| Credential Delays | We monitor every aspect of the gastroenterology provider credentialing process and keep an eye on schedules. Timely reimbursement for GI services is made possible by updated records. |
| Coding Mistakes | Coders link appropriate ICD-10 codes and confirm gastroenterology procedures. In addition to improving reimbursement for gastroenterology medical billing services, this maintains compliance. |
Protect Your Gastroenterology Practice with Compliant Billing Solutions
Properly compliant billing will continue to keep your gastroenterology practice safe and secure. Our licensed professionals appropriately handle each claim in order to prevent penalties and denials.
- Chicago
- Loss Angeles
- Alabama
- California
- Indiana
- New York
Effortless Workflow Integration with Your Existing Systems
Our team of professionals makes sure that your existing EHR, practice management software, and claims processing systems integrate easily for constant operations.
Why Choose Our Medical Billing Services?
Our gastroenterology medical billing services make your revenue cycle easy and stress-free. We ensure that your practice is fully compliant with regulations.
Easy Financial Reports
Get accurate financial reports every month with payments, denials, and revenue trends. Make informed decisions easily.
Faster Revenue Collection
Our improved billing process helps collect revenue faster with fewer errors. Your practice gets more revenue without extra effort.
Secure and Regulatory-Compliant Practices
We strictly adhere to all healthcare regulations to shield your practice from audits and penalties.
Personalized Account Service
Our team of professional medical billers closely tracks your claims, resolves any issues quickly, and keeps your billing process smooth.
Less Administrative Burden
We take care of paperwork and claim follow-ups so your staff can focus on patients.
Frequently Asked Questions
Is iSolve RCM experienced in gastroenterology medical billing?
Yes. iSolve RCM is highly experienced in gastroenterology medical billing. We have a team of highly certified medical billers who are specialized in simplifying complex billing processes and offer the professional gastroenterology medical billing services.
What is gastroenterology medical billing?
Gastroenterology medical billing is a process in which trained billing specialists accurately code, submit, and manage claims for gastroenterology procedures such as upper endoscopy (EGD / Esophagogastroduodenoscopy), PEG tube placement (Percutaneous Endoscopic Gastrostomy), polypectomy and more.
What is the fee structure for gastroenterology billing?
At iSolve RCM, our rates for gastroenterology billing are quite affordable, as low as 2.99% of monthly collections.
What are the issues of gastroenterology?
Common gastroenterology issues are:
- Acid Reflux and GERD
- 95044Celiac Disease
- Liver Disorders
- Pancreatitis.
- Hemorrhoids
- Constipation and Diarrhea
- Colon Polyps and Cancer
- Gallstones and more.
What is the procedure of gastroenterology medical billing services?
The procedure follows these seven essential steps:
- Patient Registration and Verification
- Accurate Coding of GI Procedures
- Claim Creation and Submission
- Payer-Specific Compliance
- Denial Management and Resubmission
- Payment Posting and Reconciliation
- Reporting and Revenue Insights.
