Gastroenterology Medical Billing Services

Is it difficult for you to assign correct billing codes to each gastroenterology procedure? Is it leading to claims denials or under-coding, resulting in revenue loss? Look no further! Our HIPAA-compliant gastroenterology billing services help mitigate these challenges and optimize billing accuracy.

24+

Years of Experience

13+

Industry Verticals

5000+

Experienced Professionals

StripGastroenterology Medical Billing Services

How We Streamline Gastroenterology Billing for Your Practice

Our certified professional coders (CPC) and certified professional billers (CPB) have extensive experience ensuring accurate claims submissions for diverse gastroenterology services. We cover billing and coding for various services, including simple to complex procedures like endoscopy, colonoscopy, diagnostic testing (X-rays, ultrasounds, blood tests, etc.), transjugular intrahepatic portosystemic shunt (TIPS), endoscopic retrograde cholangiopancreatography (ERCP), etc. Combining human expertise and technology empowers us to simplify and expedite gastroenterology billing and coding services. Here is how we do it for you:

  • Integrate gastroenterology-specific billing software with digital systems like electronic data interchange (EDI), EMR, EHR, and others to facilitate the electronic processing of claims.
  • Ensure precise collection of patient details (demographics, medical history), physician referral data, and insurance payer particulars (provider details, coverage type, prior authorization, claims address, effective date, expiration date) to facilitate error-free claims submission.
  • Get approval for certain medical procedures through preauthorization to ensure reimbursement in full without any claims denials. 
  • Expertise in several billing types, including value-based billing, fee-for-service (FFS), global billing, episode-of-care, and more.
  • Adhere to AAPC-mandated code specificity (ICD-10-CM codes for gastroenterology diagnoses and examinations, 91010- 91322 CPT code range, HCPCS codes, relevant modifiers, place of service (POS), and anesthesia modifiers) to ensure billing accuracy.
  • Assign specific codes for claims submission for diverse gastroenterology procedures such as endoscopy (colonoscopy, EGD, ERCP, EUS), pathology and biopsy, therapeutic procedures (polypectomy, EMR, ESD), capsule endoscopy, motility testing, hepatitis, Gallstones, Gastritis, Gastroesophageal Reflux Disease (GERD), Inflammatory Bowel Disease (IBD), Irritable Bowel Syndrome (IBS), etc.
  • Submit claims electronically in compliance with the diverse fee schedules and payment guidelines of Medicare, Medicare Advantage Part C, Medicaid, and private insurance payers, including Blue Cross Blue Shield Association and Humana, Tricare, Veterans Affairs, employer-sponsored health plans, and COBRA.
  • Help clients receive electronic payments and ensure they are posted in the financial system accurately.
  • Assign a specialized claims status specialist to handle patient inquiries and communicate with payers, guaranteeing prompt claims adjudication.
  • Verify EOB to effectively track claims for disputes, resolve them, and initiate an appealing process to get maximum reimbursements.
  • Oversee clear and comprehensive reports delineating charges, authorized amounts, deductibles, copayments, and coinsurance for each patient to prevent unpaid bills.
  • Regularly review billing metrics, such as clean claims rate, claims rejection rates, and collection rates, in order to identify gaps and areas of improvement.

Our Comprehensive Gastroenterology Billing Services

  • Insurance verification
  • Coding and billing
  • Claims submission
  • Accounts receivable follow-up
  • Payment posting
  • Denial management
  • Patient billing and collection
  • Reporting and analytics
  • Compliance consulting

Request a Quote

Request a Free 30-minute Consultation With Our Gastroenterology Billing Specialists Today!

During your consultation, some of the issues we can discuss are:

  • Your current gastroenterology billing challenges, inefficiencies, and its impacts.
  • How we ensure accurate HIPAA complaint coding within the gastroenterology billing process?
  • How we handle claims denials to achieve maximum reimbursement for your practice.
  • Measures to improve KPIs for your gastroenterology billing practices.

Step-by-step process for Gastroenterology Medical Billing Services
Step-by-step process for Gastroenterology Medical Billing Services

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Why Choose Our Gastroenterology Billing Services?

We have been a leading gastroenterology billing service provider for over 24 years, trusted by a diverse clientele, including individual gastroenterologists, multispecialty clinics, general gastroenterology centers, functional gastrointestinal disorder clinics, integrative gastroenterology clinics, and others. Our team of certified coders (CCS, CPC), billers (CPB), claims analysts, credentialing specialists, appeals experts, authorization specialists, and reimbursement specialists work together to optimize your revenue cycle. This collaboration yielded about a 98% clean claims rate, up to 95% net collection rates, and achieved nearly less than 8% in claims denial. Additionally, our clients have resulted in accounts receivable (AR) days of 35-40 days.

24

Years of
Experience

10+

Industry
Verticals

5000+

Experienced
Professionals

ISO: 9001:2015 Certified Company
ISO  27001:2013 Certified Company
HIPPA-Complience

24+

Years of Experience

35-40

Days in AR

98%

Clean Claim Rate (CCR)

<8%

Denial Benchmark

95%

Net Collection Rate (NCR)

Finance and Accounting Tools We Specialize In

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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.

Christina Sussex
Leading Healthcare Provider in France

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.

Christopher Middleton
Leading Healthcare Company in US

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.

Chris Lauren
Leading Healthcare Company in US

What Our Customers Say

We are thrilled with the impeccable chiropractic billing services offered by Invensis. Their comprehensive knowledge of the industry, prompt claims processing, and meticulous attention to detail have immensely benefited our healthcare reimbursements. Highly commendable!

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John Davis
Leading Healthcare Company in the UK.

We are extremely pleased with the exceptional hospital billing services provided by Invensis. Their expertise and attention to detail in Medicare billing and compliance in medical billing have streamlined our revenue cycle and improved financial performance.

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Emily Johnson
Leading Hospital in the US.

Invensis has been an invaluable partner for our organization, providing exceptional ASC billing services. Their expertise and dedication have significantly improved our revenue cycle management. Highly recommended!

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Sarah Smith
Leading Healthcare Provider in Italy.

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Contact Information

You can reach us at:

Call us
+1 (302)-261-9036
sales@invensis.net
Locate Us
Invensis Inc. 2785 Rockbrook Dr STE 204 Lewisville, TX 75067

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