Maximize Gastroenterology Revenue with 98.9% First Pass Claim Success

Gastroenterology medical billing focuses on procedures like colonoscopies, endoscopies, biopsies, and GI surgeries. Unlike general billing, GI billing requires specialized knowledge of CPT codes, procedure modifiers, and payer-specific rules to ensure clean claim submission and faster reimbursements.

Specialty-specific billing services help gastroenterologists improve coding accuracy, reduce denials, and comply with payer guidelines for high-volume procedures. A GI-focused team ensures revenue optimization without disrupting your clinical workflow.

Our team is trained in GI coding guidelines, including CPT codes like 45378 for colonoscopy and 43235 for EGD. We ensure proper documentation, modifier usage, and compliance with payer rules to reduce denials and maximize reimbursement.

We maintain a 99% first-pass claim success rate for gastroenterology billing. This means most claims are approved on the first submission, resulting in fewer delays and quicker payments for your practice.

Yes, we offer full integration with your existing EHR and practice management system. Our team works within your current setup, whether it’s Epic, Athenahealth, eClinicalWorks, or another platform.

We follow a structured AR recovery process targeting claims over 90 to 120 days. Our GI billing experts track, follow up, and resolve aged claims to improve cash flow and reduce outstanding receivables.

Yes, we stay updated with Medicare and commercial payer policies to ensure that gastroenterology procedures meet documentation, coding, and authorization requirements. This helps minimize compliance risk and payer audits.

Incorrect coding can lead to claim denials, payment delays, and compliance issues. Our certified coders ensure accurate GI CPT and ICD-10 coding for procedures like polyp removal, biopsy, and EGD to secure full reimbursement.

We provide transparent weekly and monthly reports that show your collections, denial trends, AR breakdown, and overall revenue cycle performance. You always have visibility into how your billing is performing.

Yes, we proactively address claim issues before submission. This includes verifying eligibility, ensuring proper coding and documentation, and following each payer’s rules to reduce denials significantly.

Most practices see up to 30% revenue growth within the first 90 days. Our onboarding process is smooth, and we begin optimizing collections from the start.

Frequent errors include incorrect use of modifiers, missing pre-authorizations, bundling issues, and incomplete documentation. Our team identifies and corrects these errors to protect your revenue.

Yes, we verify insurance coverage and secure prior authorizations for GI procedures like endoscopies and colonoscopies. This helps prevent claim denials and reimbursement delays.

Yes, our team includes certified coders and billing experts trained specifically in GI billing. We are HIPAA-compliant and experienced in working with gastroenterology practices across the U.S.

Getting started is easy. Contact us to schedule a free expert consultation. We will guide you through onboarding, system setup, and tailor a billing workflow that fits your practice.