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Ensuring Precision for Enhanced Revenue

Streamlined Gastroenterology Billing & Coding Services

Errors and compliance slip-ups can cost your practice dearly. Missing details can mean missed revenue. Experience the peace of mind that comes with precision. At Express MBS, we untangle these complexities with our expert Gastroenterology Billing & Coding Services, ensuring your billing is precise, compliant, and profitable.
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Gastroenterology Medical Billing & Coding Services

Specialized Solutions for GI Specialists

Optimizing Gastroenterology Billing for Enhanced Care

In the specialized field of gastroenterology, billing extends far beyond general medical billing, presenting unique challenges for GI physicians and clinic managers. This specialized area requires an in-depth understanding of specific procedures and codes unique to gastroenterology. Gastroenterologists often grapple with intricate billing for procedures like colonoscopies, endoscopies, and other complex gastrointestinal treatments, each demanding precise coding. Moreover, keeping abreast of the constant updates in gastroenterology billing codes adds another layer of complexity. Thus specialization in billing is crucial due to the detailed nature of gastrointestinal treatments and diagnosis. Missteps in this area can lead to substantial revenue losses and compliance risks.
Express MBS steps in as a bespoke medical billing company, specifically catering to these unique gastroenterology billing needs. Our team’s expertise and dedicated focus on gastroenterology ensure accurate billing, maximizing reimbursement while minimizing errors and compliance risks, thus unburdening practitioners from the intricacies of specialized billing.
High Accuracy Rates
Enhanced Collection Strategies
Swift AR Turnover
Transparent Billing Process
Seamless EMR/EHR Integration
Optimized Payer Mix
Customized Reporting
Cost-Effective Solutions
Comprehensive Services Tailored for Your Needs

Gastroenterology Billing & Coding Services

Our expertise in gastroenterology-specific billing not only eases administrative burdens but also ensures maximized revenue efficiency, tailoring our services to meet the unique needs, ensuring that Gastroenterologists can focus on patient care.

Up-to-Date on Billing Changes

Staying abreast with the latest in gastroenterology billing, including new codes and payer policies.

Expert Code Application

Our team proficiently handles gastroenterology-specific CPT codes like 45378 for colonoscopies, ensuring accurate billing.

Modifiers and Compliance

We adeptly use modifiers ( -26, -51, -59, etc.) and adhere to compliance regulations, mitigating the risk of claim rejections.

Detailed Documentation

Express MBS assists in maintaining thorough documentation, crucial for proving medical necessity and claim acceptance.

Claim Submission and Follow-Up

Ensuring timely claim submissions and persistent follow-ups for denied or delayed claims.

Revenue Cycle Management

Streamlining the entire billing cycle, from patient entry to final reimbursement, for optimal financial health.

Customized Reporting

Providing detailed financial reports for a transparent view into the billing and revenue cycle.

Regular Auditing

Conducting regular audits to identify potential inaccuracies or areas of improvement in billing processes.

Advanced Software and AI Integration

Navigating Complexities with Expertise

Advanced Precision in Gastroenterology Billing and Coding

The realm of gastroenterology coding and billing demands an in depth understanding of specific codes, modifiers, diagnostic procedures, and surgeries unique to gastroenterology. The complexities in coding, such as differentiating between procedures like Upper GI endoscopy (CPT codes 43235, 43239) and Lower GI endoscopy (CPT codes 45378, 45380), along with the appropriate application of modifiers like -26 and -51 demand a high level of expertise. Accurate coding and billing are vital not only for compliant practices but also for ensuring maximum reimbursement.

Every gastroenterology coder at Express MBS is CGIC certified and proficient in ICD-10-CM, CPT, HCPCS Level II,ensuring compliance with all guidelines. Our team addresses the specific challenges of gastroenterology billing, from colonoscopies to complex gastrointestinal surgeries, and ensures that each code accurately reflects the patient’s diagnosis, treatment procedures, and surgical interventions, adhering to all the latest guidelines, safeguarding the financial health of your practice.

Advanced Endoscopic Procedure
Gastrointestinal Pathology
Gastrointestinal cancer
Colorectal Screening Billing
Bariatric Procedure Coding
Hepatology billing and coding
GI Biopsy
Coding with Surgical Precision

Express MBS's Expertise in Gastroenterology Coding

At Express MBS, we pride ourselves on our profound expertise in gastroenterology coding, a cornerstone in ensuring the financial well-being of your practice. Our proficiency encompasses a wide spectrum of specific procedures and patient encounters, guaranteeing accuracy and compliance in every aspect of gastroenterology billing.
Advanced Procedure Coding
We excel in coding for advanced gastroenterology procedures such as Endoscopic Retrograde Cholangiopancreatography (ERCP), capsule endoscopy, and esophageal dilation. Our proficiency ensures that each procedure is coded with the highest level of accuracy, reflecting the intricate nature of these treatments.
Comprehensive E/M Coding
Evaluation and Management (E/M) coding forms the backbone of patient care documentation. Express MBS ensures that every patient encounter, from office visits to complex consultations, is documented meticulously, reflecting the true extent of the gastroenterologist’s expertise and patient interaction.
Anatomical Precision
We specialize in anatomical coding, accurately identifying and coding treatments specific to different parts of the gastrointestinal tract, such as the esophagus, stomach, small intestine, colon, rectum, liver, gallbladder, and pancreas. This level of detail is crucial for correct billing and patient care documentation.
Unrivaled Expertise for Optimal Reimbursement

Expert Gastroenterology Medical Billing & RCM Tailored for Your Practice

In the intricate realm of gastroenterology billing, precision and specialized knowledge are key. Express MBS brings both, alongside a bespoke approach tailored to each client. Our six-step process in gastroenterology billing ensures compliance, accuracy, and maximized revenue for your practice.
1
Patient Enrollment and Verification
First, we meticulously gather patient data, ensuring accuracy from the start. This critical first step sets the foundation for flawless gastroenterology billing and coding services.
2
Accurate
Coding
Our every gastroenterology coder is adept at identifying the right codes for various conditions and procedures, from colonoscopies to complex surgeries, ensuring precise billing every time.
3
Claim
Submission
Utilizing our specialized knowledge in Gastroenterology Medical Billing & RCM, we optimize your billing by submitting clean claims efficiently, reducing delays and denials.
4
Denial
Management
We proactively handle denials, analyzing and rectifying them. With this approach, Express MBS address issues at their root, turning potential losses into recoverable revenue.
5
Reporting and
Analytics
Regular, detailed reports offer insights into the financial health of your practice, highlighting areas for improvement in your gastroenterology practice.
Unlocking Billing Success, One Step at a Time

Ready to Enhance Your Gastroenterology Billing Process?

Do you want to enhance the financial well-being of your gastroenterology practice? Don’t let coding complexities hinder your practice’s potential. Let us handle the complexities of billing and coding, so you can focus on what you do best – caring for your patients. Discover the ease and efficiency of expert gastroenterology coding with Express MBS. Join us and experience a seamless, error-free billing process that enhances your revenue and patient satisfaction. Fill out our form or give us a call, and let’s get started on maximizing your practice’s revenue together.

Elevating Practice Performance with Gastroenterology Billing Services - RCM

In every aspect of gastroenterology billing, Express MBS crafts solutions that not only meet but exceed expectations, achieving benchmarks in gastroenterology billing services – revenue cycle management, for your practice.

01.

Enhanced Clean Claim Rate

Expect a significant boost in your clean claim rate, as our specialized gastroenterology billing services ensure accuracy and compliance, dramatically reducing errors and rejections.

02.

Reduced Days in Accounts Receivable

Our streamlined billing process and proactive follow-ups mean quicker payments, reducing your average AR days and enhancing cash flow.

03.

Lower Denial Rates

With our expert knowledge in gastroenterology billing codes and payer requirements, watch your denial rate decrease, reflecting improved billing practices and increased revenue.

04.

Improved Collection Rate

By accurately coding and effectively managing claims, we enhance your collection rate, and minimize write-offs and adjustments, ensuring that you're compensated fairly for all services rendered.

05.

Average Reimbursement per Encounter

With our focus on accurate coding and up-to-date knowledge of gastroenterology procedures, expect an increase in the average reimbursement per patient encounter.

06.

Increased Patient Collections Rate

With Express MBS, gastroenterology practices see an uptick in patient collections at the point of service, improving overall cash flow and reducing dependency on third-party payers.

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  • Complete Practice Audit
  • Specialty Specific Billing Staff
  • Complete on Provider's EMR/EHR