Maximize Reimbursements for Every Scope, Injection & Procedure
Gastroenterology
Billing Services
GI-Specific Coding – CPT 43235, 45378, J-codes & modifier expertise
99% Clean Claim Rate – Pre-audits for scopes, infusions & pathology
Fast-Track Infusion Billing – Specialty handling for Remicade, Entyvio
EHR-Integrated – Works with GI-specific systems (Provation, gMed)
ASC + Office Billing – Seamless facility & professional fee management
Gastroenterology Billing Services
medical billing services
Smooth Transition Between EHR/EMR Systems
Efficient Electronic Funds Transfer (EFT), EDI, and ERA Setups
Claims Submission Within 24 Hours
Prompt follow-up with payers.
Free provider credentialing, CAQH maintenance & revalidation
Comprehensive Revenue Cycle Management (RCM) Services
Appeals & Adjustments.
Referral Coordination with Other Doctor Offices
Reimbursement Strategies for Optimized Billing
The 6 Biggest Gastroenterology Billing Challenges
Why GI practices lose 12-30% of revenue to these preventable issues
Endoscopy Coding Errors
Biologic Drug Billing
ASC vs Office Billing
Pathology Reconciliation
Prior Auth Delays
MIPS Penalties
Schedule a Consultation with Our Medical Billing Experts
We understand your need to keep things small, intimate, and personalized. Our medical billing specialists for independent small practices thoroughly study your needs and offer custom-made solutions.
Gastroenterology Billing Services
We Offer
Gastroenterology Billing Services
Process
Benefits of Outsourcing
Gastroenterology Billing Services
Higher Collections
Fewer Denials
Faster Payments
Reduced Compliance Risk
Lower Costs
Better Analytics
Gastroenterology Billing Services
FAQs
Our GI-certified coders strictly follow AGA guidelines: Modifier 59 for separate procedures, 51 for multiple scopes. We audit every claim against Medicare's Correct Coding Initiative (CCI) edits.
98% clean claim rate for endoscopic bundlesWe use J-codes (J1745, J3357) with JW modifiers for wasted drugs, plus CPT 96413 for infusions. Our system cross-checks each claim with payer-specific biologic coverage policies.
Recover 92% of biologic drug costsOur automated reconciliation matches every specimen to pathology reports, flagging missing charges. Integrated with major labs (Quest, LabCorp).
100% biopsy charge captureYes. We're dual-certified in facility (43235-51) and professional fee (43235-26) billing, with specialized workflows for GI ASCs.
35% faster ASC reimbursementsOur GI auth team preps clinical documentation (CE-DAY criteria) and interfaces directly with payer GI review units.
72-hour average turnaround<5% initial denial rate (vs. 22% industry avg) through pre-submission scrubbing for GI-specific edits (e.g., EGD+biopsy bundling).
96% appeal success rateWe track GI-specific measures (G2211 for HCC risk, G2067 for CRC screening) and submit via QRDA-III files to avoid 9% penalties.
92% of clients earn bonusesYes. We're certified partners with all major GI platforms, including direct feeds for endoscopy documentation and pathology results.
No manual data entry requiredWe're HIPAA-compliant with SOC 2 Type II certification, encrypted endoscopy report storage, and BAAs with all GI practices/labs.
Zero breaches since 201214-day GI-specific transition: credentialing, EHR integration, scope charge mapping, and staff training on GI billing workflows.
Free practice assessment ($2,500 value)Gastroenterology Billing Services
Insurances Covered
Trusted Medical Billing Services
Verified Results
Very attentive and efficient
Always available to explain things or answer questions or concerns
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We serve all 50 states.
