Full practice support for gastroenterology and endoscopy
Gastroenterology Practice Support
Billing, credentialing, call center, and back-office support built for gastroenterology practices and endoscopy centers of any size.
Gastroenterology billing turns on distinctions most specialties never face — whether a colonoscopy stayed screening or became diagnostic, which modifier that requires for which payer, and whether the surveillance interval a payer covers matches the one the physician recommended. Get those wrong and you either bill a patient who was promised a no-cost screening or write off a procedure that was reimbursable. Whether you're a solo gastroenterologist, a group with an endoscopy suite, or a practice with its own ASC, we bring the coding discipline those distinctions require.
Services Available
Every service, built for gastroenterology practices
Call Center Services
Phone support built around the one thing that decides whether an endoscopy slot produces revenue: whether the patient completed their prep correctly.
Medical Billing & RCM
End-to-end revenue cycle management built around screening-to-diagnostic conversions, endoscopy bundling edits, and anesthesia coverage disputes.
Credentialing & Payer Enrollment
Credentialing that covers both sides of a GI practice — the physicians and the endoscopy center they perform in.
Back-Office Outsourcing
The administrative work behind biologics, infusions, and pathology that quietly consumes a GI practice's staff hours.
Website Design & Social Media
Built to answer the question that generates the most confused calls in GI: what a colonoscopy actually costs.
Common Challenges
Where gastroenterology practices lose revenue
Screening colonoscopies that become diagnostic are the most common coding failure in GI
A screening colonoscopy where a polyp is removed is no longer purely preventive, and the correct handling differs by payer — modifier PT for Medicare, modifier 33 for many commercial plans. Coding it wrong shifts cost-sharing onto a patient who was told the screening was covered, which produces both a refund and a complaint.
Endoscopy bundling edits punish imprecise coding of multi-technique sessions
A single session may involve biopsy, snare polypectomy, and ablation. NCCI edits govern which combinations are separately reportable and which require a distinct-procedural modifier. Defaulting to modifier 59 on everything invites audit exposure; omitting it entirely leaves revenue unbilled.
Anesthesia for endoscopy is denied more often than the procedure itself
Monitored anesthesia care for routine endoscopy sits in genuinely contested coverage territory, and policies vary by payer and by patient risk documentation. Practices that don't track denial patterns per payer keep resubmitting the same claim the same way.
Surveillance intervals and payer-covered intervals often disagree
A physician may recommend a three-year follow-up while the payer covers five. Verifying the covered interval before the procedure is scheduled — not after it's denied — is the difference between a conversation with the patient and a write-off.
What's Included
Gastroenterology.
Done right, at any size.
Specialty-specific coding expertise backed by a dedicated implementation team and full transparency through your client portal.
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Free revenue cycle assessment — we'll show you exactly where the gaps are and what it would take to fix them.
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