Gastroenterology Billing Services for Digestive Health Practices
SPT Medical Billing provides Gastroenterology Billing Services designed for the specialized needs of gastroenterology practices. Our services ensure accurate billing for a wide range of digestive health procedures, supporting your practice’s financial well-being.
- Specialized Gastroenterology Billing Expertise
- Certified Gastroenterology Billers and Coders
- Total visibility into your revenue cycle
- Accelerated Payments & Reduced Stress
Expert Gastroenterology Medical Billing Services for Gastroenterologists
We specialize in handling the billing for digestive health services, to boost your income and make the billing process smoother. Our team has been providing billing and coding services to gastroenterologists for years. We take care of billing for various gastroenterology procedures like colonoscopies, sigmoidoscopies, EGD, ERCP, endoscopic ultrasounds, and more. Our focus is on making sure you get paid properly for the services you provide.
Why Choose Us As Your Gastroenterology Billing Service Provider?
Accurate Gastroenterology Billing and Coding for Effective Reimbursement
In our gastroenterology billing and coding team, we make sure to accurately record and charge for all the different medical procedures we perform. We’re well aware of the specific details involved in billing for GI (gastrointestinal) services, like properly documenting a colonoscopy that goes beyond a certain point.
Our certified coders are available around the clock to work with you and avoid problems caused by using billing codes incorrectly. Our team of billing and coding experts aims to minimize claim denials and increase the money you receive for your services.
Looking for a billing partner that understands gastroenterology?
Choose SPT Medical Billing for comprehensive gastroenterology billing services.
Advanced Gastroenterology Billing Services Utilizing Cutting-Edge Technology
We employ the latest technology to offer efficient gastroenterology billing services, ensuring a streamlined billing process that enhances accuracy and expedites reimbursements.
Customized Medical Billing Solutions for Gastroenterology Practices
We offer medical billing solutions for gastroenterology practices that are tailored to your specific needs, ensuring thorough billing support for all digestive health services.
Transparent Billing Processes for Gastroenterology Services
Experience transparent billing with SPT Medical Billing, offering clear insights into the financial operations of your gastroenterology services, enabling effective financial management.
Challenges in Gastroenterology Medical Billing
Getting the medical billing and coding right for gastroenterology is tough, and requires a high level of knowledge to ensure maximum reimbursement. These challenges and solutions include:
Challenges
- Billing for colorectal cancer screenings vs. colonoscopies
- Coding challenges related to motility and GI function studies
- Documentation difficulties in ensuring proper levels of evaluation and management services
- Complexity in using category III codes for the treatment of GERD
- Application and understanding of modifiers such as -51, -59, and -26
- Challenges in tracking underpayments, particularly exceeding generic billing software capabilities
Solutions
- Implement clear documentation protocols to distinguish between preventive colorectal cancer screenings and diagnostic colonoscopies, ensuring accurate coding and reimbursement.
- Provide continuous staff education on coding guidelines for motility and GI function studies, supported by coding templates or cheat sheets for streamlined processes.
- Establish comprehensive documentation training for healthcare providers to ensure accurate and detailed records for Evaluation and Management services, with regular audits for feedback and improvement.
- Conduct regular training sessions for coders and physicians on the application and proper use of Category III codes for GERD treatment.
- Invest in advanced billing software capable of detailed tracking and reporting for underpayments, and establish a dedicated team or outsourcing service for consistent monitoring and follow-up on underpaid claims.
SPT Medical Billing Your Award Winning Medical Billing Partner
Connect with SPT Medical Billing’ Gastroenterology Billing Experts to learn how our services can streamline your billing processes and enhance your practice’s revenue.
- HIPPA-compliant
- Cost Efficiency
- Expertise Access
- Time Savings
- Increased Patient collection up to 35%
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Benefits of Our Gastroenterology Billing Services
Specialized Expertise
Our team has great knowledge of billing codes for doctors. We follow the rules to bill correctly.
Denial Management and Appeals
We review denials thoroughly. We appeal on time to avoid losing money.
Efficient Claim Submission
We send claims quickly. This prevents denials and gets you paid faster.
Transparent Reporting
Detailed reports show billing performance. Regular updates on money you earned.
Revenue Maximization
Careful coding finds underbilled services. We spot missed chances to earn more.
Customized Billing Solutions
Our billing fits your practice's needs. We work your way and your preferences.
Best Practices for Gastroenterology Billing
- Accurate Coding: Use the right codes for stomach and intestine treatments to get paid properly and in full. Avoid denials by coding correctly.
- Timely Claim Submission: Send claims quickly with complete paperwork. This speeds up payment and prevents delays.
- Regular Compliance Audits: Check coding regularly to find and fix errors, unbundling, and other billing mistakes.
- Effective Denial Management: Have a plan to review and appeal denials quickly. This helps get paid what you earned.
- Patient Education: Explain costs, insurance, and payment policies clearly to patients. This improves collections and reduces billing questions.
- Transparent Communication: Keep an open dialogue about billing processes, charges, and payment options with patients and doctors. Building trust makes everyone satisfied.
Frequently Asked Questions
What are some other common problem when coding gastroenterology cases?
Five Common Gastroenterology coding mistakes:
- Inaccurate Modifiers.
- Up coding.
- Updates on CPT codes.
- Eligibility verification.
- Improper Documentation and Medical Necessity.
What are the CPT codes for gastroenterology?
91110 – GI tract imaging, capsule endoscopy
91010 – Esophagus motility study
91122- Anorectal manometry
91035 – Gastroesophageal reflux test w/ electrode
Why should you Outsource Gastroenterology Medical Billing?
Outsourcing ensures expertise in gastroenterology coding, reduces administrative workload, accelerates revenue cycles, assures compliance with CMS guidelines, and allows gastroenterologists to focus on patient care and specialized procedures.
How to find Gastroenterology Billing experts?
Identify experts through professional networks, industry referrals, online platforms, evaluating experience in gastroenterology coding, and considering certifications like Certified Professional Biller (CPB) during the hiring process.
What are Common Gastroenterology billing codes?
Common codes include CPT codes for colonoscopy (45378), upper endoscopy (43235), and evaluation and management services (99213), facilitating accurate billing for a range of gastroenterology services.
How to enhance Gastroenterology practice revenue?
Boost revenue by optimizing fee schedules, negotiating favorable payer contracts, utilizing technology for efficient billing, improving patient communication on billing matters, and implementing effective strategies for preventive care, screenings, and post-procedure care. Regularly review and update documentation to capture all billable elements.
