Gastroenterology Billing Services

Why Gastroenterology Billing Services Require Expert Management


Gastroenterology​‍​‌‍​‍‌​‍​‌‍​‍‌ billing is an intricate task that demands accuracy, as the field is characterized by complex procedures and different insurance requirements. The Billing Care Solutions company takes care of insurance enrollment, coding, and claims processing in a very efficient manner. We are the ones who make it possible to have a correct billing for such procedures as colonoscopies (CPT 45378, 45380), endoscopies (CPT 43235, 43239), and biopsies (CPT 43239, 45380).

Our team is committed to conducting thorough follow-ups of all claims submissions to lower the rate of denials and presenting an extensive set of revenue cycle reports. Moreover, we assist in agreeing with the payer’s rules and regulations while at the same time enhancing cash flow and the practice’s profitability. Having Billing Care Solutions at your service in managing your billing means that gastroenterology practices are enabled to lessen the administrative burdens, increase the reimbursements, and concentrate on the provision of quality patient care without the occurrence of financial inefficiencies, which is a source of ​‍​‌‍​‍‌​‍​‌‍​‍‌stress.

Our Expertise in Gastroenterology Billing

  • Advanced Coding Proficiency: Our team excels in using CPT, ICD-10, and HCPCS codes tailored for gastroenterology procedures, ensuring accuracy and compliance in every billing cycle.
  • Payer Compliance Mastery: With extensive knowledge of Medicare, Medicaid, and private insurance guidelines, we manage claims efficiently and minimize denial risks.
  • Revenue Cycle Optimization: Leveraging data analytics, we enhance financial performance, identify trends, and maximize revenue recovery for gastroenterology practices.
  • Gastroenterology Service Specialization: Our expertise in billing for GI procedures from diagnostics to treatments and surgical interventions ensures precise and timely reimbursements.
  • Streamlined Operational Workflows: We provide customized solutions that streamline billing processes, reduce administrative burdens, and enhance accuracy, allowing gastroenterology practices to focus on patient care.

Achieve Better Outcomes with Specialized
Gastroenterology Billing Services

Performance Stats
Days in AR

< 25

Days in AR

Revenue Increase

40%

Revenue Increase

Denial & Rejection

< 5%

Denial & Rejection

Clean Claims Rate

99%

Clean Claims Rate

Client Retention

100%

Client Retention

What You Need to Know About Gastroenterology Billing Services

We offer full, end-to-end revenue cycle management through our gastroenterology billing services, which are specifically designed for GI practices. Our company takes care of all the billing aspects for colonoscopies, endoscopies, polyp removals, biopsies, capsule endoscopies, infusion therapies, and the related anesthesia or sedation services. Our team is responsible for differentiating the codes of screening versus diagnostic procedures, using the correct modifiers, and checking the documentation in order to get the highest reimbursement possible. Additionally, we handle complicated payer conditions, request pre-authorizations, and take the initiative to respond to claim denials by issuing specialized appeals. We support gastroenterology practices in staying financially viable, lessening their administrative burden, and being able to concentrate on providing excellent patient care by making the billing process more efficient and increasing revenue capture.

Explore More Specialties

Insurance Enrollment

Complete insurance setup for patients to ensure seamless billing.

Gastroenterology Coding

Accurate coding for procedures to prevent claim denials.

Claims Processing

Efficient handling of claims for faster reimbursement.

Claims Tracking and Auditing

Monitor and audit claims to maintain financial accuracy.

Revenue Cycle Analysis and Reporting

Insightful reports to optimize practice revenue and performance.

Regulatory Compliance Assistance

Ensure adherence to healthcare rules and coding standards.

Gastroenterology Billing Services

Why Choose Our
Gastroenterology
Billing Solutions

Our team manages the complexities of gastroenterology billing, from accurate coding to timely claims, reducing administrative burden and allowing your practice to focus on patient digestive health.

Behavioral Health Billing Illustration

Overcome Gastroenterology Billing Challenges with Billing Care Solutions

We specialize in managing complex procedure coding, scope billing, and digestive health authorizations to protect your practice's financial health.

Billing ChallengeBCS Solutions
Managing coding for combined diagnostic and therapeutic scopesOur specialists ensure accurate CPT coding and modifier application for complex endoscopic procedures
Navigating diagnosis coding for chronic digestive conditionsWe precisely apply ICD-10 codes for IBD, liver disease, and functional gastrointestinal disorders
Differentiating between screening and diagnostic colonoscopiesWe verify documentation requirements to properly code for preventive versus diagnostic GI services
Coding for advanced endoscopic procedures and capsule studiesOur certified coders accurately bill for ERCP, EUS, and wireless capsule endoscopy services
Managing authorization processes for specialized medicationsWe streamline approvals for biologic therapies, specialized nutrition, and complex treatment plans

Delivering Nationwide Support for Gastroenterology Practices

Gastroenterology practices handle a variety of procedures, from routine screenings to complex interventions. Our billing team ensures accurate coding, timely claim submissions, and thorough follow-ups, reducing denials and improving cash flow. By managing these administrative tasks, we allow your staff to focus on delivering exceptional digestive health care while keeping your practice financially strong.

Why Do Healthcare Professionals Choose BCS Medical Billing Services?

rapid -response-time-billing-care-solutions

24/7 Rapid Response Time

practice-health-plan-billing-care-solutions

Practice Health Plan

error-free-billing-billing-cares-solutions

Error Free Billing

fast-revenue-restoration-billing-care-solutions

Practice Health Audit

revenue-boost-billing-care-solutions

Constant Revenue Boost

45%
claims-submission-success-rate-billing-care-solutions

Claims Submission Success Rate

99%
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Fast Revenue Restoration

20 Days
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Free Consultantion Call

15 Minutes

Key Codes Used in Gastroenterology Billing

Accurate CPT and ICD coding ensures clean claims, proper reimbursement, and compliance for diagnostic, therapeutic, and procedural gastroenterology services.

Code TypeCodeDescription
CPT43235Upper GI endoscopy, diagnostic, with or without collection
CPT43239Upper GI endoscopy with biopsy
CPT45378Colonoscopy, diagnostic, with or without collection
CPT45380Colonoscopy with biopsy
CPT44388Laparoscopy, diagnostic, with or without biopsy
CPT91010Quantitative fecal fat test
CPT88305Pathology, tissue examination, routine
ICD-10K21.9Gastroesophageal reflux disease without esophagitis
ICD-10K52.9Non-infective gastroenteritis and colitis, unspecified
ICD-10K57.30Diverticulosis of large intestine without perforation or abscess
ICD-10K25.9Gastric ulcer, unspecified
ICD-10R19.5Other fecal abnormalities

Gastroenterology Billing FAQ's

How do you code a diagnostic upper GI endoscopy (43235)? +

The way we do it is by checking the documentation of the operation and recording whether biopsies or collections were performed .

How do you bill endoscopy with biopsy (43239)? +

We confirm the correct CPT code is selected based on the tissue collection and pathology requirements.

How do you code a diagnostic colonoscopy (45378)? +

We align the surgeon's report with CPT codes and also verify if any other interventions were performed.

How do you bill a colonoscopy with biopsy (45380)? +

We accomplish this by documenting the biopsy and pathology requisition for accurate coding.

How do you handle laparoscopy and tissue examination codes (44388, 88305)? +

We also check the surgical, specimen, and lab reports to ensure that they support the codes that have been billed.

How do you code quantitative fecal fat testing (91010)? +

In order to submit clean claims, we confirm the considered test orders, collection, and patient identifiers.

How do you align ICD codes with gastroenterology procedures? +

For proper billing, we connect the diagnoses like K21.9, K52.9, or K25.9 with the performed procedure.

How do you manage claims for multiple GI procedures in one session? +

We distinguish the services, if necessary, place modifiers, and make sure that the documentation reflects each procedure that is charged.

How do you address recurring denials in GI billing? +

We inspect claims, correct coding inaccuracies, and submit detailed documentation for the appeal process.

How do you optimize reimbursement for gastroenterology practices? +

We are on top of payer demands, double-check the accuracy of CPT/ICD combinations, and send out claims along with full supporting documentation.

What Our Clients Say

Trusted by healthcare professionals and organizations nationwide for accurate billing and reliable results.

Client Photo

Jennifer Aaron

Cardiologist, HeartCare Clinic

“Billing Care Solutions offers exceptional billing services with responsive and professional customer support. Their user-friendly system has streamlined our processes and reduced our workload. Any issues were resolved promptly and efficiently. Highly recommended for reliable billing solutions.”

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David Lieske

Chief Strategy Officer

“Billing Care Solutions LLC and Adnan Qamar have been assisting our organization with our billing services, and they have performed in a world class manner. Their collaboration with our Revenue Cycle Management Team and Clinical Management has been seamless and professional. Top notch!”

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Linh Tran

Chief Finance Officer, My CHN

“I have been working with Adnan and his team for more than 2 years. They are very knowledgeable in medical billing and very responsive to our needs. Adnan has good contacts with payers reps and familiar with payers’ requirements which help the works done quicker and easier ! I recommend his services to revenue cycle managers ! ”

Client Photo

Ashley Sahakian

Owner, Express Wellness LLC

“I have experienced nothing but the best service and quick results when it come to their services. They are very friendly, and professional. They have really helped me grow my business! Thank you all so much! God bless!”

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Zahid Mehmood

Manager BD, CRM

“Organised and timely completion of the task. Adnan team handled the project with utmost professionalism and made the whole process seamless from gathering the requirements till completing the enrolment process along with keeping us informed through out the process.”

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Melissa Renteria

CEO, Family Health Center

“Excellent service and quick turn around, knowledgeable and friendly. I have worked with Adnan for years and I have enjoyed it, he is punctual on his projects and very efficient. I highly recommend using his services you won't be disappointed!”

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Emily Kariuki

Owner, Home Health Agency

“Great service. Professional, friendly, people who get the job done. The best”

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Donna Taylor

Manager

“very professional and great customer service. Would highly recommend”

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Judy Kariuki

Operations Coordination Manager

“So far, all expectations have been met. Billing Care Solutions work has resulted in fewer billing rejections and increased clients from the marketing efforts. The team has impressed the client with their rapid response and timely service delivery. Billing Care solutions communicates via email, messaging apps, and virtual meetings.”