Gastroenterology Billing Services
EGD, colonoscopy, ERCP, EUS-FNA, hemorrhoid banding, PEG, motility studies and capsule endoscopy — accurate coding, fewer edits, faster reimbursements.
98%+ Clean Claims
Edits & eligibility checks built in
30–45% Faster AR
Prioritized worklists & SLAs
24–48h Posting
ERA/EOB reconciliation
HIPAA + BAA
Secure workflows & audits
Billing & Coding Built for GI
Our coders interpret op notes, photos and pathology to apply the correct CPT/ICD-10 with payer-ready claims for clinic, ASC and hospital settings.
- Screening vs diagnostic logic, incomplete procedures, return-to-OR
- NCCI/MUE edits, multiple lesions, device/supply capture
- Charge reconciliation tied to endoscopy schedules and pathology
End-to-End GI RCM
Eligibility to collections, with dashboards and audit trails.
Eligibility, Referrals & Auths
Benefits checks, referral capture, auth tracking & renewals.
Coding & Charge Entry
EGD/colonoscopy, ERCP, EUS-FNA, PEG, motility, capsule endoscopy.
Claims & Edits
NCCI, MUE, global periods, multiple polyps & bundling logic.
Payments & AR
24–48h posting, underpayment detection, AR worklists.
Denials & Appeals
Root cause, corrective coding, templated appeals.
Analytics & Compliance
Dashboards, KPIs, audit trails, BAAs & HIPAA controls.
Payer Nuances We Handle
- Screening vs diagnostic colonoscopy (modifier 33, cost-share rules)
- Pathology TC/PC splits and reflex testing documentation
- Multiple polyps/lesions — biopsy vs polypectomy hierarchy
- Moderate sedation (intra-service time, same-physician rules)
- Device/supply capture (clips, dilation balloons, stents)
Denial Prevention & Appeals
- Front-end NCCI/MUE edits & incomplete procedure logic
- Eligibility/auth checks with proof on file
- Appeal templates by payer, timely filing tracking & escalations
- Underpayment analytics vs fee schedules & contracts
- Provider feedback for documentation gaps (photos, pathology)
Procedures We Bill Every Day
EGD ± biopsy/polypectomy • Colonoscopy ± biopsy/polypectomy/EMR • ERCP • EUS-FNA • PEG • Hemorrhoid banding • Motility studies • Capsule endoscopy
GI Billing — FAQs
Do you support clinic, ASC and hospital settings?
Yes — professional claims, facility coordination and endoscopy suite workflows with pathology linkage.
How do you reduce GI denials?
Up-front edits (NCCI/MUE), screening vs diagnostic logic, auth/eligibility verification and payer-specific appeal playbooks.
How fast do you post payments?
Within 24–48 hours with ERA/EOB reconciliation, underpayment checks and payer variance reporting.
Let’s lift your gastroenterology collections
Start with a free claims & A/R snapshot — actionable in 48 hours.