Gastroenterology Billing Company, GI Billing Services in New York

According to Becker’s review, there are 13 specialties seeing decline in reimbursement rates, and gastroenterology is one of them. Moreover, a survey in the American Journal of Gastroenterology stated that reimbursement for bioscopies and colonoscopies have dropped by around 38% in the last 15 years. It is because the GI billing process is a very difficult process because of several codes and modifiers. Though GI billing is full of rules and complexities, the important step is to master the basics, which include authorization, core procedures and documentation to make sure no claim denial occurs. These fundamentals are considered as one of the major foundations for improving the clinic’s RCM process. The Role of Prior Authorization Prior authorization is one of the major pain points for gastroenterology practices. As there are several colonoscopies with EGD, polypectomy and capsule endoscopy, payers need prior approval before rendering services. So, missing authorization results in cla...

It is no secret that high-volume procedures, complex coding, and ever-evolving payer regulations make Gastroenterology (GI) practices a unique and demanding specialty. While the heart of a Gastroenterology practice is patient care and performing critical diagnostic and therapeutic procedures like colonoscopies, endoscopies, and ERCPs, we must not forget the financial stability, too. The efficiency and accuracy of the Gastroenterology billing determine the future here. In fact, the truth is that nowadays attempting to manage the complexities of GI billing entirely with the help of in-house is often a recipe for disaster. With administrative strain, financial leakage, and staff burnout, small practices are seen struggling to make ends meet. Outsourcing Gastroenterology billing is not just about claims submission; it's about maximizing revenue so you can refocus on clinical excellence. The 3 Perils of In-House Gastroenterology Billing: A Growing Burden Running a successful practice r...