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Gastroenterology Billing Services

Integrity Practice Solutions has significant experience billing for gastroenterology (GI) and endoscopy services. We have typically seen practices increase their cash flow because of the attention to details and the specialty specific knowledge that our team has amassed over many years. Many billing companies claim to be experts in Gastroenterology billing and coding but all they do is take the codes given by the doctors or the endoscopy machine software and send it over without actually reading the operation report (Op reports). This leads to significant loss in revenue and tons of denials which are left to be worked by untrained or overworked staff who simply write it off.

We work in a very collaborative environment where our billers and coders are constantly in communication with the office staff. We provide constant communication and feedback on how to improve the processes at the front end of your office so that there are fewer issues as the claims move through the process.

gastroenterology billing services

Gastroenterology procedures do not pay as much as they used to and it is imperative that you have a solid experience team handling your billing so that you get paid every penny that you deserve. Our team also has experience with ASC billing, pathology billing and infusion billing which is extremely important for those who provide these services in-house.

You will have a dedicated account manager and a team which will truly become an extension of your office and your billing department. They will handle all the calls and be available to your office staff whenever they need. Your claims will be scrubbed and go out quickly so you can get paid quickly. All denials are worked by Gastroenterology billing experts and your office will be given feedback on how to reduce those denials going forward.

Gastroenterology Billing TIPS

  • If you have to abort a colonoscopy because of poor preparation, do not forget to add modifer 53.
  • If the CPT does not capture additional time or complexity for e.g. mobid obesity in patient, use modifier 22
  • The use of modifiers 52 and 53 can be quite confusing. AMA has a special chart on what area of the digestive system that the scope was able to proceed for colonoscopy and EGD to determine which is the suitable modifier. Contact us and we will be happy to share.
  • Understand the difference between screening colonoscopy and diagnostic colonoscopy. While doing a screening colonoscopy, if you discover any issues, it becomes a diagnostic colonoscopy and the patient will have to pay a copay. It is high time that CMS and congress will work to close this loophole and save surprise bills for patients.

Benefits of OUTSOURCING

GET PAID FASTER & FOR EVERY PATIENT

GET PAID FASTER & FOR EVERY PATIENT

Our billers will review all the claims and send them out within 24 hours. Any missing information will be promptly discussed with the office so there are no delays in claims processing. We can use our software for billing or bill from your existing EHR. We have worked with Medisoft, eClinicalworks (eCW), Kareo, STI, OmniMD, Meditab IMS, OfficePracticum (OP), Healthfusion among many others.

REDUCE EMPLOYEE DEPENDENCE WITH MEDICAL BILLING OUTSOURCING

REDUCE EMPLOYEE DEPENDENCE WITH MEDICAL BILLING OUTSOURCING

Cash flow of your office is dependent on your claims going out in a timely manner. You cannot afford to have that stop when someone takes a vacation or has to take time off. With our size, your claims will never stop going out and your collections will always be worked on. You never have to worry about that.

SAVE MONEY BY OUTSOURCING YOUR BILLING

SAVE MONEY BY OUTSOURCING YOUR BILLING

We get paid only if you get paid. You get the benefit of having a specialized team of experts working on your account without worrying about training, vacation etc. If you go on a vacation, you do not have to pay any of your billing and collections staff.

REDUCE PAYER DENIALS

REDUCE PAYER DENIALS

You do not need to live in a vacuum!! We work with hundreds of providers and learn from the denials and push back that we receive from insurance. We learn from this and educate our practices so they do can get paid on the first time.

FULL TRANSPARENCY

FULL TRANSPARENCY

You and the staff you designate will always have full access to your data. We do not want to hide anything from you. When we do follow up, the notes will be attached to the patient chart and you can review them. We believe in 100% transparency.

NO CONTRACTS

NO CONTRACTS

It is your money and it is your right to work with whomever best serves your need. We do not impose any contracts. We are confident in our service that you will not find a harder working billing service provider.

How It WORKS

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Denial MANAGEMENT

Denial management is the key to a successful revenue cycle program. Many companies claim to “automate” RCM but they fail to acknowledge that the problem in denials is the “intention” and not “technology”. There is no other alternative to being on the phone with insurance company for hours on end and fighting for a claim to get paid. Nonetheless, smart billers learn from their interaction with insurances and pass on that knowledge to the offices they work with so they can take care of these “gottchas”. For e.g. many companies will deny a claim if you send a specific (e.g Lt knee pain) and unspecified pain diagnosis on the same claim.

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Contact Us Now ! 1-844-245-5633

Integrity Practice Solutions – A Professional Medical Billing Company.

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