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Staying abreast with the latest in gastroenterology billing, including new codes and payer policies.
Our team proficiently handles gastroenterology-specific CPT codes like 45378 for colonoscopies, ensuring accurate billing.
We adeptly use modifiers ( -26, -51, -59, etc.) and adhere to compliance regulations, mitigating the risk of claim rejections.
Express MBS assists in maintaining thorough documentation, crucial for proving medical necessity and claim acceptance.
Ensuring timely claim submissions and persistent follow-ups for denied or delayed claims.
Streamlining the entire billing cycle, from patient entry to final reimbursement, for optimal financial health.
Providing detailed financial reports for a transparent view into the billing and revenue cycle.
Conducting regular audits to identify potential inaccuracies or areas of improvement in billing processes.
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.
01.
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.
Our streamlined billing process and proactive follow-ups mean quicker payments, reducing your average AR days and enhancing cash flow.
03.
With our expert knowledge in gastroenterology billing codes and payer requirements, watch your denial rate decrease, reflecting improved billing practices and increased revenue.
04.
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.
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.
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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