Gastroenterology Billing & Coding Services: Ensuring Compliance and Maximum Reimbursement
Gastroenterology, focused on digestive system disorders, requires precise and compliant medical billing and coding. Gastroenterologists face challenges like colorectal cancer screenings, evaluation services documentation, and the application of modifiers. Accurate coding and payer-specific protocols are crucial for optimal reimbursements.
Challenges in Gastroenterology Billing:
Gastroenterology billing demands a nuanced understanding, from colonoscopies to motility studies. Accurately documenting levels of evaluation and management services, using category III codes for GERD treatment, and applying modifiers like -51, -59, and -26 pose complexities. Tracking underpayments effectively is also crucial, often beyond conventional billing software and in-house staff competencies.
Expertise in Gastroenterology Billing & Coding:
Our seasoned team, serving practices nationwide, specializes in gastroenterology billing and endoscopy. With AAPC-certified coders proficient in ICD-9/10, CPT, HCPCS coding, we diagnose and rectify billing challenges, ensuring maximum reimbursements.
Best Practices Implemented:
Understanding intricacies like colonoscopy advancements and modifier usage is our forte. Our 24/7 support prevents errors, educating your team to avoid billing discrepancies. We streamline processes for fewer denials and increased reimbursements, employing data-driven solutions.
Benefits of Our Services:
We ensure excellence and precision in GI billing, optimizing your revenue cycle. From patient demographics to denial management, our streamlined processes add value through analytics-driven operations. We ensure consistent accounts receivable follow-up and prioritize denial prevention over management.
Our AAPC-certified team, proficient in leading billing software, navigates standard coding guidelines and negotiates successfully with major carriers, Medicare, and state-specific Medicaid policies. Our clients typically witness over 20% revenue improvement and a minimum 10% reduction in denials due to our expertise and well-trained team.
