Gastroenterology Medical Billing Services
At Claims4Medical, we understand the difficulties of gastroenterology medical billing and its impact on your practice’s financial health. Our dedicated team of certified medical billers manages everything from procedure coding to insurance verification, providing maximum reimbursement for your services.
Our billing experts stay updated with the latest ICD-10 and CPT
codes, payer policies, and compliance requirements specific to
endoscopic procedures and other GI services. We take pride
in our 99% first-pass claim acceptance rate and
consistently reduced denial rates for our
gastroenterology clients.
We believe in transparent collaboration, and we guarantee to provide you with correct, timely, and maximized revenue while you work on providing optimum patient care.
Our Services Cover the Following Treatments
Inflammatory Bowel Disease (IBD)
Crohn’s disease and ulcerative colitis are quite difficult to manage. Our medical billing services guarantee detailed coverage for IBD treatments, including biologics, immunosuppressants, and surgical operations. We provide prior authorizations for treatments and correspond with insurance companies for coverage of acute and maintenance therapy.
Liver Disease
Our staff manages billing for your whole liver care plan, including liver function tests, ultrasounds, fibroscans, and medications. Whether for hepatitis or cirrhosis, we manage claim processing and insurance payments for timely reimbursements. We help to process insurance claims and payments for timely reimbursements.
Pancreatic Disorders
Dealing with pancreatitis or pancreatic tumours requires care. We process claims for advanced imaging studies, enzyme replacement therapy, and surgical interventions. Our billing specialists provide correct coding and proper coverage for both acute and chronic pancreatic conditions.
Motility Disorders
Diseases like gastroparesis and chronic constipation affect your quality of life. We manage billing for motility studies, biofeedback therapy, and specialized treatments. Our team provides services that cover both diagnostic procedures and ongoing management plans.
Colorectal Cancer Screening
Regular colonoscopy tests can save lives. We help you manage the difficult billing rules for preventive vs. diagnostic colonoscopies, guaranteeing that you get the most out of your insurance coverage. Our staff manages pre-authorizations for a variety of screening methods and follow-up treatments.
Our Medical Billing Process
Patient Registration
& Insurance Verification:
Our medical billing process starts when healthcare staff share patient details such as age, medical history, and demographics. We contact the patient’s insurance company (via online portals or phones) to verify the patient’s eligibility and insurance coverage so that there are no payment errors afterwards.
Medical Coding:
Once the patient visits the healthcare provider, the medical practice documents all services provided. Each service given has a medical code. Our expert coders use ICD-10, CPT, and HCPCS codes for the preparation of claims. Correct coding helps in preparing proper claims that help to increase revenue.
Claim Submission:
After coding, claims are submitted using our secure and latest software. Our team of experts guarantees that each claim that is submitted is according to the payer's requirement and is HIPAA compliant. Our team carefully monitors the claim submission process. This results in faster claims processing and quicker reimbursements for healthcare providers.
Payment Posting & Denial Management:
After correct claim submission, payments are posted into the medical practice's accounts. Any remaining balance is communicated with the patient. In case of claim denial, we reopen the claim, review it, fix the issue, and resubmit it to the insurance providers. We take regular follow-ups from insurance companies to make sure that you get paid on time.
Account Receivable Follow-Ups:
We constantly track late payments to settle pending claims quickly. Our team contacts both patients and insurers, finds problems that are causing delays, and fixes them to keep the cash flow steady. This way, healthcare providers get paid on time without losing any money.
Detailed Reports & Analysis:
We provide patients with detailed billing cycle reports and monthly statements. Financial counseling and customized payment plans are also offered. These detailed reports help to gain patient satisfaction by providing clear and transparent billing cycle reports, guaranteeing a smooth experience for both patients and providers.
Why Choose Us?
Gastroenterology Billing Expertise
Our team at Claims4Medical has GI billing specialists with in-depth knowledge of gastroenterology procedures, coding, regulations, and payer guidelines. With our team of experts, we guarantee that all services are accurately coded and submitted, so your claims are timely and fully reimbursed.
Maximize Reimbursement
By using accurate coding, submitting clean claims, and providing timely claim submissions, we increase the chances of your claims being accepted quickly. Our routine follow-ups and regular checks and balances help us provide you with lower denial rates and a better reimbursement rate.
Customized Solutions
We customize our services to fit your practice needs, whether you're a solo practitioner or a large GI practice group. Our flexible options include full revenue cycle management or targeted support for coding, credentialing, or A/R follow-up. We'll create a solution that works for your practice.
Maximum Patient Care
We manage your billing so you can dedicate your time and energy to delivering exceptional GI care. We manage the administrative burden of claims, collections, and reporting. With our skills, you can concentrate on what matters most, providing maximum patient care.
Transparent Communication
We prioritize clear and open communication throughout the billing process. You’ll receive regular updates on claims, payments, and outstanding balances. Our transparency helps build trust and guarantees that you are always informed.
Contact Us Today!
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Frequently Asked Questions
What Services Do You Offer?
We Manage All Areas of Medical Billing Such as Coding, Claim Submission, Payment Posting, Denials, Follow-Up, and Reporting.
How Will You Increase My Collections?
Our Certified Coders Maximize Reimbursement Through Correct, Specific Coding. We Submit Clean Claims Timely and Follow up To Minimize Denials and Speed up Payment.
What Specialities Do You Serve?
We Work with Practices Across Specialities, Including Primary Care, Orthopaedics, Ob/gyn, and Many Others. Our Team Has Years of Experience in Meeting Different Billing Needs.
How Do You Manage Billing Issues?
Our Team Identifies Issues Early Through Repeated Quality Checks. We Work on Denied Claims by Correcting Errors, Appealing, and Communicating with Payers as Needed.
What Practice Management Systems Do You Use?
We’re Experienced with Top Pm Systems Like Epic, Cerner, Athenahealth, and Allscripts. Our Team Learns to Work with Your Existing Software for A Smooth Transition.
