Gastroenterology Billing Services

iFocusRCM

Gastroenterology Billing Services

It takes more than great patient care to effectively run a gastroenterology practice. The sophisticated medical billing needed for complicated endoscopic procedures, colonoscopies, diagnostic testing, or treatment for various chronic digestive diseases can result in billing challenges. Inaccuracy by just a single code could result in denials, payments delays, and loss of income.
Streamline your gastroenterology practice billing, increase cash flow, and enhance your collections with our professional Gastroenterology Billing Services. We provide assistance for gastroenterology practices, endoscopy centers and GI physicians so they can increase revenue cycle and adapt to healthcare regulatory changes.
Our certified billers are experts in the industry and use advanced billing technology and specific Gastroenterology billing experience, allowing your claim processing to run smoothly so you can concentrate on patient treatment.

Our Gastroenterology Billing Services

Medical Coding Services

We accurately code gastroenterology procedures-endoscopies, colonoscopies, GI consults-using correct CPT, ICD-10, and HCPCS codes to prevent claim denials, increase claim reimbursement, and ensure that payers are properly reimbursed; while at the same time, maintaining efficient, mistake-free billing for your practice.

Claims Submission

We format and submit accurate claims for the earliest possible reimbursement. Before each claim is submitted electronically to the payers, it is carefully scrubbed for all coding, demographic and claim detail errors to ensure each claim is "clean". This reduces claim rejections, allows for prompt reimbursement and increases your practice's revenue cycle management efficiency.

Insurance Eligibility Verification

Our eligibility verification specialists confirm insurance coverage, co-pays, deductibles, referral and prior authorization information prior to each patient visit. By determining this beforehand, it reduces billing problems and increases payment accuracy while assisting gastroenterology practices in providing an efficient and comfortable patient encounter and operational workflow.

Denial Management Services

Practice revenues and cash flow are significantly affected by claim denials. Our Denial Management Team identifies the reasons for claim denials, fixes them, sends them for appeals and disputes it with the insurance company and recover the money for you and optimize future accept rate of your gastroenterology practice.

Accounts Receivable Management

Our Accounts Receivable services optimize cash collection with minimum number of your pending claims. It manages your AR, follows up on them for the payment with insurance company/ responsible parties for old A/R & over payments and provides consistent AR reports for your gastroenterology practice.

Payment Posting Services

We properly post all insurance and patient payments into your medical billing system while uncovering underpayments, overpayments and billing inaccuracies. The accurate posting of payments provides greater financial transparency, accuracy, and a well-maintained, organized revenue cycle for your gastroenterology practice.

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Why Gastroenterology Billing Requires Specialized Expertise

Billing for gastroenterology can be a very complex issue since GI procedures generally involve extensive documentation, multiple procedure codes, the use of modifiers and very stringent payer guidelines. Coding such procedures as colonoscopies, upper GI endoscopy, biopsies, and anesthesia must be done accurately, otherwise, it results in claim denials and underpayment. We have skilled gastroenterology billers on staff who have the necessary experience with GI coding and payers guidelines, which helps the practices achieve the highest clean claim rate and consistent cash flow.
Insurance companies change billing guidelines for gastroenterology services on a consistent basis and if practices don’t have an in-house billing staff, they tend to encounter issues such as:

Claim denial
Coding errors
Delayed reimbursement

Benefits of Our Gastroenterology Billing Services

Increased Revenue Collection

Our gastroenterology billing services result in increased revenue collection, through coding expertise, clean claim submission and prompt insurance follow-up. Our services help minimize claim denials and identify billing opportunities that providers might be missing. Our specific service makes sure that every procedure, consultation or diagnostic service performed in practice is correctly compensated.

Reduced Administrative Burden

Carrying out in-house billing increases the amount of work required of staff, and ultimately takes away from daily practice efficiency. When a practice uses a billing company, the dedicated billing specialists in our practice can handle the coding, claim submission, payment posting and communications with insurance carriers. This frees up the gastroenterology practice provider and administrative staff to concentrate more on patients and practice management operations.

Faster Claim Processing

We quickly submit and track claims from the submission process to the payment collection phase of the revenue cycle. Speedy claim submission with accurate documentation, followed by aggressive follow-up on claims pending payment helps reduce payment delays and enhance approval ratings.

Improved Compliance

Coding standards, payer policies and health care regulations change constantly. Gastroenterology practices may be unaware of the latest compliance standards (like HIPAA) and coding standards in the health care industry and may submit erroneous billing claims and increase their compliance risk and collection of their revenue and reimbursements to the entire practice operations.

Better Financial Reporting

Provide insights of our comprehensive financial reporting system that details a gastroenterology practices performance, collections, A/R, reimbursement and denials which helps gastroenterology practices make financial decisions that benefit practice cash flow.

Digestive Health/Gastroenterology Billing

Our coders and billing team is competent in coding and billing for colonoscopies, endoscopies, ERCP procedures, liver biopsies, GERD treatments, Hepatitis treatments, and many other digestive health related billing services. Our claim management and accurate coding will help the practice get maximum reimbursement and lowest denials, with the right compliance with the payer’s rules.

Why

Why Choose Our Gastroenterology Billing Company?

Skilled Billing Specialists

Our gastroenterology billing specialists have in-depth knowledge of advanced procedures, billing codes, and payer guidelines. They submit clean claims to minimize denials and maximize reimbursements for stable and steady income and operational efficiency for your practice.

Advanced Billing software/technology

Utilizing state-of-the-art billing software and technology, we bring speed and precision to every step of your gastroenterology billing and coding process. We employ state-of-the-art technology to prevent errors and increase overall revenue cycle effectiveness.

HIPAA Compliant Process

We adhere strictly to HIPAA compliance policies for all patient data and ensure maximum privacy. Patients’ data will be handled confidentially and with utmost safety with the help of advanced HIPAA secure billing software and restricted access to protected health information (PHI).

Customized Billing Solutions

We tailor each billing solution to fit your unique gastroenterology practice. Regardless of size, we can adapt workflows, reporting and processes to suit your practice to enhance efficiency, decrease claim errors and effectively optimize reimbursement results.

Our Gastroenterology Revenue Cycle Management Process

iFocusRCM handles the entire gastroenterology revenue cycle from beginning to end with ease and efficiency. Patient registration and insurance verification are handled by our expert team to confirm all patient details are accurate before services are rendered. Medical coding and clean claim submission is executed promptly so that your gastroenterology practice receive quicker approvals and less denials, thus reducing errors.

We post all payments and maintain accounts receivable internally and follow up on any denials in an attempt to assure all claims are billed and collected properly. We continually monitor the status of claims and make sure we are taking the necessary steps to prevent payment delays. We at iFocusRCM look forward to helping your gastroenterology practice stabilize and remain operational, improving cash flow and administrative costs.

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Reach Out to Us for More Details

We at iFocusRCM work to meet the requirements of your practice and deliver appropriate billing solutions that assist you in receiving positive outcomes. Our practice enables quicker and speedier claim payment while keeping a regular cash flow.

Connect with us right now. We’re all set to provide comprehensive support for all your gastroenterology billing services and support you with our efficient, clear, and reliable services

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