Gastroenterology Medical Billing Services
A1mca’ HIPAA-compliant gastroenterology billing services streamline complex coding processes and enhance claim submissions. It also minimizes claim denials, boosts collections, addresses revenue leaks, and ensures optimal financial performance for your practice. If your team is dealing with the complexity of gastroenterology billing, then we provide the perfect solution. Improve billing accuracy, and alleviate administrative pressure while concentrating on offering outstanding patient care with our top-tier billing services.
Get a QuoteStreamline Outsourced Gastroenterology Billing Services with A1mca
Gastroenterology is a specialized branch of medicine dedicated to the digestive system and its disorders. Its primary focus is on maintaining digestive health and effectively managing gastrointestinal diseases. To ensure a compliant and financially successful practice, gastroenterologists must stay updated on coding guidelines and payer-specific protocols.
We streamline gastroenterology insurance billing for practices by implementing a comprehensive, efficient process that integrates advanced technology and specialized expertise. This covers simple to complex procedures such as endoscopy, colonoscopy, diagnostic testing (X-rays, ultrasounds, blood tests, etc.), transjugular intrahepatic portosystemic shunt (TIPS), endoscopic retrograde cholangiopancreatography (ERCP), etc.
Our expert gastroenterology billing services help practices generate maximum and timely revenue by:
- Collecting comprehensive patient details, including demographic information, insurance coverage, and medical history.
- Verifying patient insurance details to confirm coverage and obtain necessary pre-authorizations for procedures.
- Assigning specific codes for claims submission across a variety of gastroenterology procedures, including endoscopy (colonoscopy, EGD, ERCP, EUS), pathology and biopsy, therapeutic procedures (polypectomy, EMR, ESD), capsule endoscopy, motility testing, and conditions like hepatitis, gallstones, gastritis, GERD, IBD, and IBS.
- Adhering to AAPC-mandated code specificity, using ICD-10-CM codes for gastroenterology diagnoses and examinations, the 91010-91322 CPT code range, HCPCS codes, endoscopy codes, biopsy codes, evaluation and management codes, polypectomy codes, and relevant modifiers such as -51, -59, and -26 to ensure GI billing and coding accuracy.
- Preparing and reviewing claims to ensure correct coding and documentation, and submitting them to insurance companies.
- Overseeing the generation of clear and comprehensive reports, detailing charges, authorized amounts, deductibles, copayments, and coinsurance for each patient to prevent unpaid bills.
- Monitoring the status of submitted claims, and identifying and addressing related issues promptly after claim submission.
Our Comprehensive Gastroenterology Medical Billing and Coding Services
The Invensis Advantage for Revenue Cycle Management Services
As an HIPAA-compliant outsourced revenue cycle management company, we have over 24 years of experience delivering healthcare revenue cycle management services to US-based health care practices. We have helped our clients adopt best practices, including prioritizing patient care, investing in advanced technology, collecting patient payments upfront, ensuring accurate charge capture, and timely claims filing. Over the years, we have seamlessly integrated people, processes, and technology to adapt to evolving legislation and industry needs. As a result, our RCM management services have helped our clients to eliminate waste, enhance efficiency, and receive comprehensive, value-based support. Our expertise has led to significant success for our clients, including a 20% reduction in claim denials and a 30% increase in collection rates. Outsource revenue cycle management services to us and reap the maximum benefits of back office support services.
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