Posts

Showing posts from September, 2025

How Gastroenterology Billing Services Tackle Denials End-to-End?

Image
 Are you finding difficulties boosting reimbursement for your gastroenterology practice? Then you’re not alone because most of the providers face issues with this. However, if delayed payments and claim denials are eating up your revenue, now it’s the time to take the right action. But the issue is gastroenterology billing is a complex affair and claim denials can drain the revenue. So, it is highly important to understand the major causes of claim denials and also their solutions. The Reason for Claim Denials The billing process in gastroenterology specialty incorporates complex coding procedures, from colonoscopies to endoscopies. The usage of specific codes such as CPT 45378 which is diagnostic colonoscopy and CPT 43235 which is upper GI endoscopy. These coding processes need to be very precise, and you need updated knowledge of coding regulations to make sure no claim denial occurs. However, the claim denials can arise because of coding errors, improper documentation and failu...

How GI Billing Services Tackle Complex Billing Process?

Image
Gastroenterology billing is considered a never-ending challenge. It is because there are complex codes, constant updates, and different payer-specific requirements. But the thing is, if this billing is done right, it can not only save your staff's headaches but also boost your practice's revenue. So, let's dive into the daily challenges of gastroenterology billing and how the GI billing services can tackle these challenges. Reasons Why Gastroenterology Billing is challenging There are several challenges providers face, starting from complicated procedures to bundling confusion. Let's dive into the challenges one by one: Complicated Coding and Procedures: Colonoscopies, Biopsies, and Endoscopies, the list of these procedures goes on. However, each procedure comes with unique ICD and CPT codes. Always remember that one tiny mistake can cause claim denials. Insurance Hurdles: Each and every insurance company has its own rules and regulations. Whether it's getting PA ...

How Gastroenterology Billing Company Solves Coding Challenges

Image
Though the requirement for gastroenterology is growing in the US, most of the healthcare providers are finding difficulties in coding for these specialties. Coding is an important aspect in gastroenterology billing. It has been observed that there are two aspects contributing to coding, which are proper documentation and coding process. The healthcare regulations are always changing in the US. That's why the healthcare staff cannot learn about all the latest regulations. So, what can be done in this situation so that no claim denial occurs? That’s where the outsourced gastroenterology billing company comes in, to streamline this process. Coding modifiers portray an essential role in accurately describing specific changes. Here, modifiers like modifier 25 and 59 can be beneficial to identify the difference in the same procedure. That’s where the coders come who understands how to use modifiers to improve coding precision. They make sure all the ICD, CPT and HCPCS codes are perfectl...