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GI Practice Revenue

Gastroenterology Billing Services

Gastroenterology Billing & RCM

Revenue Cycle Management Built Around GI Practice Workflows

We support independent gastroenterology practices and endoscopy centers across billing, coding review, prior authorization, denial resolution, accounts receivable and financial reporting.

Discuss Your Billing Needs
  • GI-focused operating process
  • Clear ownership and escalation
  • Structured monthly reporting
Revenue Cycle Control Center Demonstration View
Claims Submitted
Denials Assigned
A/R Tracked
Workflow Visibility Illustrative status
Verification
88%
Claim review
74%
Denial work
61%
Payer follow-up
79%

GI billing is not a general claim-submission workflow.

01
Procedures can change after scheduling The completed service may require a different claim pathway than the original appointment.
02
Authorization details must match the service Missing, expired or mismatched authorization details can delay reimbursement.
03
Documentation affects coding and follow-up Procedure notes, modifiers and place-of-service details must support the final claim.
Core Services

One Team Across the Revenue Cycle

Support can cover the complete billing process or focus on a specific area where your practice needs more consistency and visibility.

01

Full-Service GI Billing

Charge entry, claim review, submission, rejection correction, payment posting and insurance follow-up.

02

GI Coding Review

Review of documentation, modifiers, place of service and other claim details before submission.

03

Denial Management

Denial identification, correction, appeal preparation, payer follow-up and root-cause reporting.

04

A/R Follow-Up

Consistent follow-up across aging buckets, underpayments, unresolved claims and older balances.

05

Prior Authorization

Tracking for procedures, medications, supporting documentation and payer responses.

06

Credentialing Support

Payer enrollment, revalidation, demographic maintenance and provider-file follow-up.

Service Coverage

What We Can Manage for Your Practice

A complete operating scope from front-end verification through claim resolution and reporting.

Eligibility and benefits verification
Referral and authorization tracking
Charge entry and claim preparation
Gastroenterology coding review
Claim scrubbing and submission
Rejection correction
Payment posting and reconciliation
Denial correction and appeals
Insurance A/R follow-up
Underpayment review
Patient balance workflow support
Monthly performance reporting
GI Procedure Workflows

Support for the Services That Drive a GI Practice

Procedure details can change after the visit begins.

Our workflow reviews the completed service, documentation, authorization status and claim requirements before final submission and follow-up.

Colonoscopy Screening, diagnostic and therapeutic procedure workflows.
EGD Upper endoscopy claim and documentation review.
Capsule Endoscopy Authorization, documentation and billing support.
ERCP and EUS Support for more complex procedural claim workflows.
Office and Hospital Services Professional billing across relevant places of service.
GI Infusion Services Medication authorization and billing workflow support.
Denial & A/R Management

Claims Need More Than a Status Check

Our team works from defined queues, ownership rules and follow-up dates so unresolved claims do not remain untouched as they move into older A/R.

  • Identify the actual denial or non-payment reason
  • Correct claim or documentation-related issues
  • Prepare appeals and supporting information
  • Follow payer responses through resolution
  • Report recurring causes to the practice
Rejections Correct front-end claim errors before they become avoidable delays.
Denials Assign ownership, correction steps and clear follow-up dates.
Underpayments Review differences between expected and posted reimbursement.
Old A/R Prioritize balances according to age, value and recoverability.
Plan verification Confirm coverage, benefit details and payer requirements.
Procedure authorization Track requests, status, reference details and expiration dates.
Medication authorization Support GI infusion and biologic authorization workflows.
Practice escalation Identify missing documentation or provider action clearly.
Prior Authorization Support

Make Authorization Status Visible Before the Scheduled Service

We help practices organize authorization work so the team can see what is approved, what is pending and what still requires information.

  • Benefits and authorization requirement review
  • Submission and status tracking
  • Reference and approval-detail documentation
  • Expiration and scheduling coordination
  • Escalation of missing information
How We Work

A Defined Process From Review to Reporting

01

Review

We review current workflows, payer issues, A/R, denials and reporting needs.

02

Plan

We define responsibilities, transition steps, priorities and escalation rules.

03

Manage

The team performs the agreed functions through documented daily workflows.

04

Report

Your practice receives clear updates on collections, denials, A/R and open issues.

Reporting & Visibility

Know What Was Billed, Paid, Denied and Still Needs Attention

Reporting should help your practice make decisions. It should not be a long spreadsheet without ownership or explanation.

  • Monthly charges and collections
  • A/R by aging bucket
  • Top denial categories
  • Claims requiring practice action
  • Payer follow-up and unresolved balances
Monthly Practice View Sample categories
Revenue activity Charges & collections
Accounts receivable Aging visibility
Denial management Cause & status
Practice action Open items
Payer follow-up Resolution tracking

Let’s Review Your Current Billing Priorities

Tell us about your gastroenterology practice, current revenue-cycle challenges and the support you are looking for.

Schedule a Consultation