How does GI Billing Services increase cash flow?

Consistent cash flow is the foundation of any US gastroenterology practice. However, with increasing healthcare expenses and intricate insurance regulations, your practice is troubled by several challenges like staff shortage and burnout, prior authorization delays, and so on. The GI practices handle complex and diverse procedures like endoscopies, colonoscopies, and treatments for Inflammatory Bowel Disease (IBD). Each service requires precise billing.

However, poor and faulty billing significantly hinders the cash flow of the providers. The latest American College of Gastroenterology study stated that Medicare reimbursement for GI services dropped by 2.83% in 2025. This cut makes it even more necessary for practices to optimize billing. Now, as the healthcare staff perform almost all the healthcare operations, that’s why it becomes difficult for them to focus on patient care. So, that is why you need the GI billing services to streamline your billing operations. Hence, to find out how these services help you, first, let’s dive into the challenges in GI billing and then how the billing experts solve them.

Top Challenges in Gastroenterology Billing

• Coding errors are a very common challenge. Most claims face denials due to incorrect codes. GI procedures have specific CPT codes such as 43235 for Esophagogastroduodenoscopy (EGD) and 43239 for EGD with biopsy. Hence, a little coding mistake will result in claim denials.
• Insurance denials are also one of the major challenges. The insurance payers often reject claims for coding mistakes. These denials delay reimbursement, consequently straining the cash flow.
• Outdated technology slows things down. Many practices still use paper records. However, as the staff are busy with almost all the healthcare operations, that’s why they don’t get enough time to learn to use the EHR system to store patient data.

How the GI Billing Services Solve These Challenges

• Their experts use accurate coding and documentation: Coding is the foundation of billing. GI procedures need specific codes for endoscopy procedures, therapeutic interventions, and other procedures. Moreover, CMS frequently updates coding guidelines. For example, the CPT codes for colonoscopy changed in 2025. The AMA has updated 270 new codes. So, it is difficult for the practices to train their staff on the updated codes as they are busy with almost all the healthcare operations. That’s where the third-party billing services come in whose experts stay updated with the updated coding regulations to make sure that no claim denials occur.
• Verify insurance and secure prior authorization: Insurance verification ensures seamless reimbursement right on time. The billing staff needs to check patient insurance coverage to verify if the service is covered by the insurer or not. That’s where the GI billing services come into the picture. Their dedicated experts verify patient eligibility, collect important patient documentation, and then submit the PA request to make sure no claim denial occurs.
• They know about working with your EHR: Many EHR systems have non-intuitive designs and require multiple clicks to complete simple tasks. That’s why it takes a lot of time for the healthcare staff to correctly enter patient data inside the EHR system. On the contrary, third-party billing experts know about working with your clinic’s EHR, thereby ensuring that patient data is safe and secure.

The healthcare staff faces numerous difficulties in complying with the complex GI coding regulations as they don’t have knowledge of this. Moreover, as healthcare regulations are constantly changing, that’s why it becomes difficult for the healthcare staff to stay updated with the changing regulations. That’s where the GI billing services come in. Their dedicated experts are constantly updated with the evolving billing regulations. Moreover, they know how to work with your clinic’s EHR along with streamlining the prior authorization service. So, if you want to streamline your billing operations, you may consider outsourcing a third-party billing service.