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.

Talk to Our TeamAll Specialties
Modifier-Level
Screening vs Diagnostic Accuracy
Pre-Procedure
Coverage Interval Verification
Any Size
Solo to Practice-Owned ASC

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.

Talk to Our Team
Screening-to-diagnostic conversion handling with correct modifier PT and 33 application by payer
Endoscopy bundling and NCCI edit review for multi-technique sessions
Anesthesia denial tracking and appeal by payer policy
Surveillance interval verification before scheduling, not after denial
Prior authorization for biologics and infusion therapy in IBD management
Facility and professional component coordination across office, endoscopy suite, and ASC settings
Pathology billing coordination for specimens sent to outside labs
Credentialing for both the practice and the endoscopy center or ASC

From the Blog

Why Screening Colonoscopies Are the Most Common Billing Mistake in Gastroenterology

A screening colonoscopy that turns diagnostic mid-procedure isn't a coding footnote — it's a modifier decision that determines whether a patient owes anything at all, and Medicare and commercial plans don't agree on which modifier to use.

5 min read

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