Gastroenterology billing that gets screening rules right
GI billing turns on details like whether a colonoscopy started as a screening, what was removed, and where it was performed. We code endoscopic procedures accurately and apply screening rules so patients and payers are billed correctly.
- Screening vs. diagnostic
- Endoscopy coding
- Infusion billing
Where gastroenterology claims get stuck
These are the specialty-specific problems that cause denials, delays, and underpayments most often.
Screening that becomes diagnostic
When a screening colonoscopy finds a polyp, the claim needs specific modifiers and diagnosis order, or the patient gets an unexpected bill.
Endoscopy coding detail
Biopsy, snare, and other techniques each have their own codes, and using the wrong one changes payment.
Prior authorizations
Some payers require authorization for procedures and infusions, and missing one delays or denies payment.
Gastroenterology billing and coding, handled end to end
Certified billers and coders who work in gastroenterology every day, with HIPAA-compliant processes throughout.
Endoscopic procedures
Colonoscopy, EGD, and other procedures coded from procedure notes.
Screening rules
Screening and diagnostic rules applied with the right modifiers.
Pathology follow-through
Diagnoses updated from pathology results when needed.
Infusions
In-office infusion administration and drugs billed with authorizations.
The services gastroenterology teams rely on
Could your gastroenterology billing be working harder?
Tap anything that sounds like your practice today.
Let's see where you stand
Select the statements that describe your practice to see whether specialty billing support would help.
How we set up gastroenterology billing
A clear path from first call to steady claims, planned so nothing stalls during the switch.
Free billing audit
First, we review a sample of your claims, denials, and A/R to see where revenue is getting stuck.
Specialty setup
Next, we set up the coding rules, payer requirements, and fee schedules specific to gastroenterology.
Go live
Then our team takes over daily coding, claims, and follow-up, working inside your current systems.
Monthly review
Finally, reports and a review call show collections, denial trends, and what we're doing about each one.
Related specialties we bill for
We apply the correct screening diagnosis order and payer modifiers, such as PT for Medicare or 33 for many commercial plans, so the service is processed under screening rules where they apply.
Yes. We bill infusion administration and drug codes with the correct units and authorizations on file.
Yes. We bill professional claims for procedures in any setting, and can support ASC facility billing as well.
Get gastroenterology billing that keeps up. Start with a free audit.
First, we'll review a sample of your claims. Then we'll show you where specialty rules are costing your practice revenue.