Gastroenterology Medical Billing Services
Improve Revenue & Efficiency With Expert Gastroenterology Billing Services
Expert coding and billing support for Gastroenterology providers to improve reimbursements through cleaner claims, less denials and intensive audits.
Why Billing & Coding for Gastroenterology Give Providers Heartburn
Gastroenterology, with its diverse array of procedures and diagnostic tests, introduces complexities that demand a careful approach to ensure accurate billing and reimbursement.
For instance, the intricate nature of coding for a wide range of gastroenterological procedures, from routine endoscopies and colonoscopies to more complex interventions like liver biopsies and endoscopic retrograde cholangiopancreatography (ERCP). Each procedure involves specific codes, and errors in coding can lead to claim denials, delayed reimbursements, and revenue loss.
Gastroenterologists frequently encounter challenges in documenting and coding for the evaluation and management (E/M) services associated with patient visits. Accurate documentation of the complexity and severity of the patient’s condition is crucial for proper code selection, yet this process is often time-consuming and prone to oversights, affecting the revenue cycle.
Often, Gastroenterologists perform procedures in ambulatory surgery centers, hospitals, or office-based settings, each with its own billing protocols. Ensuring consistency and accuracy in coding across these diverse settings requires high organizational efficiency.
Improve Reimbursements and Fast-Track Your Financial Growth
After 11+ years of providing Gastroenterology Billing Services nationwide, we’ve become experts at detecting the causes for sub-optimal reimbursements. Neolytix’s dedicated team of well-trained experts specializes in detecting the obstacles that prevent your organization from achieving its growth goals.
Denial Prevention
Our teams are aware that the shortest way to optimize cashflow is not through denial management but denial prevention.
Uncovering Revenue Leaks
Through a meticulous review of your billing processes, we are able to identify and address potential sources of revenue loss and plug the holes, once and for all.
Appeal Proficiency
Our proficiency and understanding of the procedures serve as safeguards against rejections. We systematically address issues to ensure you secure the maximum reimbursement available.
Compliance & Coding Audits
We conduct routine compliance audits to identify potential issues or areas of improvement. This proactive approach can help catch problems before they lead to denials or legal issues.
Full-Scale Billing Suite
Deal with one service provider for patient enrollment, insurance verification and authorization, coding, payment posting, reconciliation of accounts, AR management, patient collections, coding audit, credentialing, etc.
Efficient Workforce Administration
With Neolytix handling personnel management and reporting, providers are freed from the intricate details of micromanagement, enabling them to dedicate more time to essential healthcare tasks and patient care.
Our Supporting Pillars Of Gastroenterology Billing
Monitoring & Reporting Excellence:
Neolytix performs pre-billing audits to identify and rectify potential billing errors before submission, minimizing claim rejections and delays. Intuitive reporting is provided as per schedule or upon request.
Accredited Expert Coders:
Our coders, certified by AAPC, utilize their expertise to accurately assign CPT, HCPCS, and ICD-10-CM codes, and undergo constant training (including NCCI edits) of code updates to ensure both compliance and precise billing.
Diverse EHR Platforms Experience:
Our Neolytix billing teams bring extensive expertise in navigating various EHR/EMR systems. From Epic, Cerner, Athenahealth, Allscripts, etc., our proficiency guarantees efficient and accurate billing processes tailored to your specific platform.
Proficiency Across Major Commercial Carriers:
We have in-depth process and compliance knowledge of all the major commercial carriers, including United Health, Aetna, Humana, Blue Cross Group, WellPoint, etc. (Contract renegotiations available upon request)
The Codes Causing Digestive Dilemmas In Your Cashflow
Mastering the art of coding is pivotal to securing optimal reimbursement in gastroenterology. Delving into Current Procedural Terminology (CPT) and International Classification of Diseases (ICD) codes reveal specific pitfalls that, if unnoticed, can markedly influence your cash flow.
CPT Codes
45378 (Colonoscopy, flexible, with biopsy)
Ensure the biopsy is performed for a specific identified lesion or medical necessity, clearly noting the indications in the procedure notes.
43235 (Upper gastrointestinal endoscopy, esophagus, and stomach)
Accurately document the specific areas examined in the upper gastrointestinal tract, including any abnormalities or findings.
43248 (Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination)
Clearly specify the need for an endoscopic ultrasound examination and document the findings, such as the location and characteristics of any identified lesions.
45385 (Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery, or snare technique)
Document the medical necessity for ablation, including the type of lesion and why other removal techniques are not suitable.
Common ICD 10 Codes
K21.9 (Gastro-esophageal reflux disease without esophagitis)
Clearly describe the severity and impact of gastro-esophageal reflux disease on the patient's health, supporting the code choice.
K52.9 (Non-infective gastroenteritis and colitis, unspecified)
Provide detailed documentation of symptoms, duration, and any diagnostic tests performed to support the diagnosis.
K63.5 (Polyp of colon)
Specify the characteristics of the colon polyp, including size, morphology, and any associated symptoms or risks.
K92.1 (Melena)
Document the presence of melena, including details on the frequency, quantity, and any associated symptoms, to support the coding for gastrointestinal bleeding.
Billing Proficiency Across the Gastroenterology Spectrum
Multi-Specialty Experience
Our billing teams have experience across the Gastroenterology specialty board, which includes doing billing and revenue cycle management for:
- Hepatology
- Endoscopy
- Inflammatory Bowel Disease (IBD)
- Motility Disorders
- Interventional Gastroenterology
- Pancreatology
- Gastrointestinal Oncology
- Nutrition and Obesity
More Reasons to Choose Neolytix Gastroenterology Billing Services
Neolytix provides services around the clock to Gastroenterology providers nationwide. Each team member in our billing team receives ongoing training and is monitored and audited by dedicated supervisors and account managers. Continuous training happens behind the scenes at no cost to your organization and won’t affect your medical billing, coding, and collections operations.
Constant availability to speed up billing processes and to ensure continuous support for your healthcare organization.
Improved accuracy in claims submissions and reduced billing errors & monitoring of coding changes, and amendments.
Free up your time by outsourcing medical billing and administrative tasks to focus more on patient care and big picture tasks for your healthcare organization.
Benefit from our flexible and customized fee options, designed to ensure cost-effectiveness and financial efficiency for your Gastroenterology practice or group.
Partner with Neolytix Today
Take action today with Neolytix to diagnose your coding and billing operations and see improvements within a month.
We GUARANTEE it.
100% Probability of Revenue Improvement
99% Claims Acceptance Rate
11+ Years of Experience
HIPAA Complaince
Ready to Revolutionize Your Billing Experience?
Contact us today for a personalized consultation and discover how our tailored billing solutions can elevate your organization.
