Gastroenterology Medical Billing Services
Invensis' HIPAA-compliant gastroenterology billing services streamline complex coding processes and enhance claim submissions. It also minimizes claim denials, boosts collections, addresses revenue leaks, and ensures optimal financial performance for your practice. If your team is dealing with the complexity of gastroenterology billing, then we provide the perfect solution. Improve billing accuracy, and alleviate administrative pressure while concentrating on offering outstanding patient care with our top-tier billing services.
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Streamline Outsourced Gastroenterology Billing Services with Invensis
Gastroenterology is a specialized branch of medicine dedicated to the digestive system and its disorders. Its primary focus is on maintaining digestive health and effectively managing gastrointestinal diseases. To ensure a compliant and financially successful practice, gastroenterologists must stay updated on coding guidelines and payer-specific protocols.
We streamline gastroenterology insurance billing for practices by implementing a comprehensive, efficient process that integrates advanced technology and specialized expertise. This covers simple to complex procedures such as endoscopy, colonoscopy, diagnostic testing (X-rays, ultrasounds, blood tests, etc.), transjugular intrahepatic portosystemic shunt (TIPS), endoscopic retrograde cholangiopancreatography (ERCP), etc.
Our expert gastroenterology billing services help practices generate maximum and timely revenue by:
- Collecting comprehensive patient details, including demographic information, insurance coverage, and medical history.
- Verifying patient insurance details to confirm coverage and obtain necessary pre-authorizations for procedures.
- Assigning specific codes for claims submission across a variety of gastroenterology procedures, including endoscopy (colonoscopy, EGD, ERCP, EUS), pathology and biopsy, therapeutic procedures (polypectomy, EMR, ESD), capsule endoscopy, motility testing, and conditions like hepatitis, gallstones, gastritis, GERD, IBD, and IBS.
- Adhering to AAPC-mandated code specificity, using ICD-10-CM codes for gastroenterology diagnoses and examinations, the 91010-91322 CPT code range, HCPCS codes, endoscopy codes, biopsy codes, evaluation and management codes, polypectomy codes, and relevant modifiers such as -51, -59, and -26 to ensure GI billing and coding accuracy.
- Preparing and reviewing claims to ensure correct coding and documentation, and submitting them to insurance companies.
- Overseeing the generation of clear and comprehensive reports, detailing charges, authorized amounts, deductibles, copayments, and coinsurance for each patient to prevent unpaid bills.
- Monitoring the status of submitted claims, and identifying and addressing related issues promptly after claim submission.
Our Comprehensive Gastroenterology Medical Billing and Coding Services
- Accurate Coding
- Claims Submission
- Insurance Verification
- Revenue Cycle Management
- Denial management
- Accounts Receivable Management
- Compliance and Regulation
- Financial Reporting and Analysis
- Patient Billing and Support
- End-to-End Billing Solutions
- Audit & Quality Assurance Check
- Telemedicine billing
- Coding and Billing Updates
- Follow-up on Payment Discrepancies
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During your consultation, some of the issues we can discuss are:
- Your current endoscopic procedure billing challenges, inefficiencies, and impacts.
- How do we ensure accurate uses of HIPAA-compliant codes within the billing process by implementing best practices for gastroenterology revenue cycle management.
- How we handle claims denials to achieve maximum reimbursement for your practice.
- Measures to improve KPIs for your billing practices.
Why Choose Invensis for Gastroenterology Billing Services?
Invensis, as a leading gastroenterology billing services provider over 25 years, offers specialized knowledge and experience to practices. Our team stays current with the latest coding guidelines and payer requirements. We also utilize cutting-edge gastroenterology billing software to streamline the billing process, enhance accuracy, reduce manual errors, and accelerate claim submissions, which leads to quicker reimbursements. Our strategic approaches have helped us yield about a 98% clean claims rate and up to 95% net collection rates for our clients. Over the years, we have helped gastroenterology practices focus on delivering high-quality patient care by managing the complexities of billing and coding instead of concentrating on financial management.
Benefits of Outsourcing Gastroenterology Billing Services
- Access to Expertise:
Managing medical billing and coding for gastroenterology can be challenging for in-house teams. The complex procedures and applications of appropriate codes require expert knowledge, which can overwhelm the internal team in a gastroenterology practice and lead to claim denials.
Outsourcing gastroenterology medical billing services helps practices utilize the expertise of professionals to manage detailed billing tasks. They help reduce coding errors, enhance reimbursement rates, and allow practices to focus on patient care. - Enhanced Revenue Cycle Management:
Managing the revenue cycle in gastroenterology requires careful handling of claim submissions and follow-ups on denials. Each claim needs accurate coding and submission to avoid mistakes, and any denials must be thoroughly investigated and corrected. Therefore, the process is complex and time-consuming.
Delegating these services to a specialized gastroenterology billing company can help practices tackle these challenges more effectively. The expert billers streamline billing processes and optimize the revenue cycle, leading to quicker claim resolutions and better cash flow. They also help gastroenterology practices stay financially stable with timely reimbursements with specialized GI billing solutions. - Compliance with Regulations:
Keeping up with the frequent updates and complex regulations in gastroenterology coding services can be tough. Constant attention is required to ensure the coding is accurate and follows payer-specific rules.
Outsourcing digestive health billing services to specialists helps gastroenterology practices comply with the latest regulations. These experts navigate evolving standards, reduce compliance risks, and maintain accurate billing. Their knowledge also helps minimize errors and ensures that practices meet current healthcare regulations, protecting them from potential penalties. - Time and Resource Savings:
Billing tasks in gastroenterology can be time-consuming and resource-intensive. They involve complex coding, claim submissions, and following up on denials, all of which require close attention to detail.
Outsourcing these billing services to experts who handle remote billing can significantly boost efficiency. Remote Gastroenterology billing services manage coding, claim submissions, and payment follow-ups from a distance, reducing the administrative burden on your in-house team. This approach ensures accurate, timely processing and helps cut down on operational costs, allowing your practice to focus more on patient care. - Reduced Overhead Costs:
Maintaining an in-house billing department for gastroenterology can be costly. Gastroenterology practices have to cover hiring, training, and technology costs, including salaries, benefits, and software updates. These expenses can add up quickly and make it a financial strain.
Outsourcing billing to gastroenterology specialists is a more cost-effective solution. It eliminates the need to hire and train an internal team while providing access to advanced billing systems and skilled professionals. This cuts down operational costs and boosts overall efficiency.
Trends in Gastroenterology Billing
- Increased Use of Technology: Gastroenterology practices embrace modern billing software to enhance revenue cycles and streamline operations. By integrating with Electronic Health Records (EHRs) and using specialized gastroenterology billing tools, these practices are improving accuracy and reducing errors. Features like automated code suggestions and claim scrubbing help identify and fix potential issues before submitting claims. This leads to more accurate documentation, faster gastroenterology claim processing, and quicker reimbursements.
- Advanced Coding Systems: Advanced coding systems are revolutionizing billing in gastroenterology by enhancing the accuracy and efficiency of documenting both routine and complex procedures. For remote gastroenterology coding services, these systems play a crucial role. They ensure precise recording and billing of intricate techniques, such as endoscopies and specialized diagnostics, from a remote location. By leveraging these advanced systems, remote coders can minimize errors and denials, streamline the GI revenue cycle, and significantly improve financial performance for gastroenterology practices.
- Cloud-Based Medical Billing: Cloud-based medical billing is gaining popularity among gastroenterologists due to its security and flexibility. It uses cutting-edge encryption to protect patient information and are regularly updated to maintain data safety. With cloud-based systems, authorized professionals access billing information from anywhere, enhancing convenience and efficiency. Innovations like blockchain and autonomous coding further improve security and reliability in gastroenterology billing.
- Shift Towards Value-based Care:
The shift towards value-based care is reshaping gastroenterology billing by focusing on patient outcomes and long-term wellness. This model aligns financial incentives with health outcomes, encouraging better resource use, reducing unnecessary procedures, and enhancing the patient experience. It also supports a more holistic approach to care, which benefits both patients and practices. - Data Analytics for Revenue Optimization:
The best gastroenterology billing practices increasingly use data analytics to improve their billing processes. By analyzing billing metrics and identifying trends, they effectively address issues like claim denials and delayed payments. Data analytics also helps practices spot inefficiencies and implement targeted strategies to enhance claim accuracy, reduce errors, and speed up payment cycles. - Outsourcing of Billing Services:
A growing number of gastroenterologists are choosing to delegate their endoscopy billing services to specialized third-party providers. This allows them to focus more on patient care while experts handle the complexities of billing and coding. Outsourcing also helps accelerate claim processing and improve administrative efficiency, making it a smart choice for many gastroenterology practices.
What Our Customers Say
We have been working with Invensis for the past two years, and they have helped us overcome many revenue cycle management challenges. The team often walks the extra mile to ensure that our needs are met.
Invensis has been our revenue cycle management healthcare outsourcing partner for the past 5 years. They have always delivered on their commitments, whether it is meeting our Service Level Agreement (SLA) or improving our billing process.
Invensis has been a great partner providing quality medical coding and billing services. The team is extremely responsive to every query we pose, and the turn-around time for deliverables is always as committed.
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