Gastroenterology

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Expert Medical Billing Services for Gastroenterology Practices

Improve reimbursement, reduce denials, and streamline your revenue cycle with specialized billing solutions designed specifically for gastroenterology practices. We understand the complexities of medical billing for gastroenterology practices. From routine colonoscopies to complex gastrointestinal procedures, billing in gastroenterology requires specialized knowledge and attention to detail. We know that accurate coding, timely claims submission, and compliance with payer requirements are essential for getting your practice fully reimbursed for the care you provide.

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98% First-Pass Pay Rate

Thanks to our expert knowledge of cardiology billing codes and payer rules, we achieve a high first-pass claim approval rate, reducing delays and accelerating your payments.

30% Reduction in AR Days

Our efficient billing and follow-up processes help reduce your practice’s accounts receivable days, improving cash flow and speeding up payment cycles.

15% Revenue Increase

Practices that partner with us see an average of 25% or more in increased revenue due to reduced denials, improved coding accuracy, and optimized billing workflows.

99% Claim Accuracy

We ensure that your gastroenterology practice’s claims are submitted with accurate codes and complete documentation, minimizing the risk of claim rejections or underpayments.

Common Billing Challenges in Gastroenterology

challenge

Complex and Specialized Coding for Procedures

Gastroenterology involves a wide range of diagnostic, therapeutic, and surgical procedures, including colonoscopies, endoscopies, and biopsies. These procedures require accurate and specialized coding to ensure full reimbursement.

How We Solve It:

Our experienced coders are well-versed in the specific codes required for gastroenterology procedures, including ICD-10, CPT, and HCPCS codes. We ensure that every procedure is accurately coded, minimizing errors and maximizing reimbursements for both routine and complex services.

challenge

High Volume of Diagnostic Tests and Procedures

Gastroenterology practices perform a high volume of diagnostic tests and procedures, which can create challenges in billing accurately and on time. Inaccurate or late submissions can delay payments and disrupt cash flow.

How We Solve It:

We streamline the billing process to handle the high volume of claims efficiently. Our team ensures that all tests and procedures are billed promptly, reducing the time between service and payment. This leads to improved cash flow and a faster turnaround time for claims.

challenge

Navigating Multiple Insurance Payers

Gastroenterology practices often work with a wide variety of insurance providers, each with different reimbursement rates, policies, and requirements. These differences can create confusion and lead to underpayments or claim denials if not properly managed.

How We Solve It:

Our team is experienced in handling claims for all major insurance providers, including Medicare, Medicaid, commercial insurance, and managed care plans. We ensure that each claim is submitted in full compliance with the specific requirements of each payer, maximizing reimbursement and reducing the chances of denials.

challenge

Claim Denials and Appeals

Gastroenterology practices often face claim denials due to coding errors, insufficient documentation, or payer-specific requirements. Denied claims can significantly delay payments and lead to a longer accounts receivable cycle.

How We Solve It:

We proactively monitor all claims and immediately address any denials. Our dedicated denial management team reviews rejected claims, identifies the cause, and submits appeals as needed to ensure your practice is reimbursed for every eligible service.

challenge

Ensuring Proper Documentation and Compliance

Proper documentation is critical in gastroenterology billing, especially for complex procedures like colonoscopies, biopsies, and endoscopic surgeries. Incomplete or inaccurate documentation can lead to claim denials and delayed payments

How We Solve It:

We work closely with your practice to ensure that all necessary documentation is collected and submitted with each claim. Our team helps maintain compliance with payer-specific documentation requirements, ensuring that claims are processed correctly the first time

How We Solve Gastroenterology Billing Challenges

Expert Coding for Gastroenterology Procedures

Our certified medical coders have specialized knowledge in gastroenterology codes, ensuring that each procedure is billed with the correct ICD-10, CPT, and HCPCS codes. We keep up-to-date with coding changes to ensure compliance and minimize errors.

Efficient Billing for High-Volume Services

Gastroenterology practices perform a variety of diagnostic and therapeutic services. We handle high volumes of claims efficiently, ensuring that each service is accurately billed and submitted promptly, reducing the time it takes to receive payments

Expertise in Multiple Insurance Payers

We are experts in working with all types of insurance providers, including Medicare, Medicaid, PPOs, HMOs, and private insurers. Our team ensures that all claims are submitted in accordance with payer-specific guidelines, ensuring maximum reimbursement for each service.

Denial Management and Appeals

We monitor claim statuses, identify issues, and take immediate action on denied claims. Our dedicated team handles the appeals process, ensuring that denied claims are reviewed and resubmitted with corrections, maximizing the chances of reimbursement.

Comprehensive Documentation and Compliance Support

We help your practice maintain accurate and complete documentation for all procedures, ensuring that all claims are backed by the necessary information to meet payer requirements. Our team ensures that your practice stays compliant with the latest documentation standards

What Our Gastroenterology Clients Are Saying

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"Gastroenterology clinics require billing accuracy to handle complex procedures. NY Practice Partner has been outstanding in managing our revenue cycle. Collections are consistent, claims are accurate, and our practice is financially secure so we can focus on patient care."

Dr. Christopher Lee, Gastroenterologist

"Our gastroenterology practice used to experience constant delays in revenue. NY Practice Partner has completely changed that. Their RCM services ensure predictable cash flow, faster payments, and reduced denials. We finally feel in control of our practice’s financial health."

Dr. Megan Scott, Gastroenterologist

"Digestive Health Specialists of Chicago faced serious billing inefficiencies that limited growth. NY Practice Partner has transformed our RCM, stabilized revenue, and improved operations. Now, our gastroenterology clinic can plan confidently for the future."

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