Gastroenterology Billing
The field of gastroenterology is concerned with the diagnosis and treatment of conditions related to the digestive system, focusing on diseases that affect organs from the mouth to the esophagus and the alimentary canal. Medical professionals who work in this area are known as gastroenterologists.
In order to maintain a legally compliant and financially stable practice, gastroenterologists must stay up-to-date with evolving coding standards and payer-specific regulations. Billing and coding for gastroenterology services is complex and requires a wide range of specialized expertise to ensure optimal reimbursement. This includes billing for procedures such as colonoscopies and colorectal cancer screenings, investigations related to motility and GI function, proper documentation of evaluation and management levels, use of category III codes for GERD treatment, and application of modifiers such as -51, -59, and -26.
Effective management of underpayments is also crucial for invoicing endoscopy and gastrointestinal services. However, many billing software and internal billing personnel lack the necessary proficiency to handle this task efficiently. GI practitioners who fail to manage underpayments effectively may experience significant revenue loss.
At OneMed Billing Services, we specialize in gastroenterology billing and endoscopy billing. Our team of specialists collaborates with your practice to ensure that you receive maximum reimbursement for services rendered. We identify problem areas such as incorrect modifier use, assess underpayments, and manage all aspects of your practice's billing to optimize your revenue.
Benefits of Using Our Gastroenterology Coding and Billing Services
We OneMed Billing Services is dedicated to bringing excellence, knowledge, and accuracy to GI billing and coding services while constructing a defect-free revenue cycle for your practice. Our value proposition includes analytics-driven and result-oriented processing across the revenue cycle chain, including patient demographic entry, insurance verification, insurance authorizations, coding, billing, account reconciliation, and denial management. Our goal is to make the billing, coding, claim submission, and payment posting processes as simple as possible, while also preventing claim denials through consistent accounts receivable follow-up and prior authorization. We prioritize denial prevention, and our team of experts includes:
● American Association of Professional Coders (AAPC)-certified professionals
● Proficient in medical billing software such as Lytec, Medic, Misys, Medisoft, NextGen, and others
● Trained in coding software like EncoderPro, FLashcode, CodeLink, and others
● Adhere to CMS guidelines for standard CPT, HCPCS procedure and supply codes, and ICD-CM diagnosis coding
● Successfully processed medical bills for major commercial carriers, including United Health, WellPoint, Aetna, Humana, HCSC, Blue Cross Group, and others
● Capable of successfully negotiating Medicare and state-specific Medicaid policies
Our team's expertise and rigorous processes often result in revenue increases of
increases in revenue of over 24% and decreases in denials of at least 13%. We accomplish this by using our knowledge, rigorous processes, and a highly skilled team.