Gastroenterology Billing
Say Goodbye to Denied Claims & Delayed Payments
- with Expert RCM Solutions
Gastroenterology Billing Tailored for Your Practice
Gastroenterology is a specialized branch of medicine that focuses on the digestive system and its anomalies. However, these practices face unique challenges in the revenue cycle due to the intricate nature of diagnostic and procedural coding along with payer-specific protocols and increasing scrutiny of claims. The process of medical billing and coding gastroenterology practices is complicated and necessitates expertise and knowledge to ensure maximum reimbursement.
At RCM Workshop, we optimize gastroenterology billing services by incorporating an end-to-end comprehensive, efficient process that implements advanced technology and specialized expertise. Our billing specialists manage claims of complex procedures encompassing endoscopy, colonoscopy, diagnostic testing, transjugular intrahepatic portosystemic shunt (TIPS), endoscopic retrograde cholangiopancreatography (ERCP) and so on. With years of experience in this field, our specialized billers and coders help practices mitigate revenue leakage and generate maximum reimbursement. We assign specific codes for claim submissions across a variety of gastroenterology procedures including endoscopy (EGD, ERCP, EUS), therapeutic procedures (polypectomy, EMR, ESD) etc., resulting in clean claim submissions at the first time.
Unbeatable Service, Quality & Price
Challenges
Challenges in Gastroenterology Billing
Challenges involving technological integration: Obsolete or incompatible technology can impede efficiency, resulting in errors in billing, coding and patient records. The integration of Electronic Health Records (EHR) also creates problems in efficient billing process. If there is any gap or discrepancy between the EHR and billing system, it can lead to rejected claims.
OUR PROCESS
Our Gastroenterology Billing Process Workflow
Gastroenterology billing services encompass a multitude of procedure specific codes that necessitate a billing solution tailored as per the need and requirement of your practice. We work with certified billers and coders who ensure each claim has been submitted in a timely manner and with appropriate codes. At RCM Workshop, we provide tailored solutions that understand the subtleties of each code to ensure maximum reimbursement while staying compliant with the regulatory guidelines along with ICD-10 and CPT codes.
Scheduling & Registration
Carry out well-coordinated appointment scheduling, updated insurance details, and handle inbound and outbound calls from/to patients.
Eligibility & Benefits Verification
Confirm patients’ primary and secondary insurance and verify their benefits coverage, co-pays, co-insurance, and deductibles.
Prior Authorization
Medical Coding
Charge Posting
Claims Edits & Submission
Payment Posting
Denial Management
AR Management
Patient Collection
BENEFITS
Outcomes guaranteed
Efficient insurance verification
>99% clean claim submission
Efficient authorization management
<24 hours turn-around time
Efficient Charge Entry
Efficient processing for flawless financial records.
Efficient denial management
<5% claims denials
Proactive accounts receivable follow-up
<40 days AR & reduced aging
Better coordination & process optimization
improved patient satisfaction