Gastroenterology Medical Billing Services

From colonoscopies to endoscopic procedures, gastroenterology practices face complex coding, payer requirements, and device-related claims. Our specialized gastroenterology billing services streamline your workflow, reduce errors, and ensure faster reimbursements. We provide expert-level service to improve the results.

  • We guide new GI providers through payer onboarding, ensuring smooth claim acceptance.
  • Fully HIPAA-compliant gastroenterology billing aligned with private payers and regulatory standards.
  • Complete management from patient eligibility verification to payment posting.
  • Reduce claim rejections with proactive monitoring and appeals, improving collections and workflow efficiency.

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Why Choose the Best Gastroenterology Billing Services

Selecting the right gastroenterology medical billing service is critical to reduce denials, improve cash flow, and ensure compliance. At Hello MDs, we provide specialized gastroenterology billing services tailored to the unique needs of GI practices.

Our gastroenterology billing experts provide accurate GI coding, seamless gastroenterology revenue cycle management, and fully compliant gastroenterology billing software solutions. With proactive strategies to avoid GI billing mistakes and tailored workflows for practices of all sizes, we help you focus on patient care while ensuring faster reimbursements and optimized collections.

Hello Mds

Challenges Faced in Gastroenterology Billing

Here are the challenges that many people face in gastroenterology billing services:

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Complex Procedure Codes - GI practices use CPT codes like 45378 (diagnostic colonoscopy) or 43235 (EGD) along with ICD-10 codes such as K21.9 (GERD) or K50.90 (Crohn’s), missteps here lead to denial.

Frequent Claim Denials - Without correct use of modifiers (-59, -51) and clear documentation distinguishing screening vs diagnostic procedures, practices face rejections.

Evolving Compliance Rules - Staying current with payer-specific rules and the nuances of Gastroenterology Coding is tough for in-house teams.

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Workflow Overload - The cycle of eligibility verification, charge entry, claim submission and AR follow-up consumes time and distracts from patient care.

Our Specialized Comprehensive RCM Gastroenterology Services

Here are the specializations that we provide through our gastroenterology billing services

authorization

Accurate GI Medical Billing

Our team ensures clean, compliant claims for endoscopies, colonoscopies, and advanced GI procedures, reducing errors and payment delays.

crisis-management

Denial Handling

We review rejected claims quickly, resubmit with corrections, and track patterns to prevent future issues in your gastroenterology RCM.

Payment Posting & AR Management

Accurate gastroenterology billing software integration allows us to track payments, identify underpayments, and perform timely AR follow-ups.

Credentialing Support

Get providers enrolled with payers efficiently, using our knowledge to avoid delays in starting Gastroenterology Medical Billing.

Prior Authorization & Insurance Verification

We manage pre-approvals for procedures, therapies, and device-related claims, ensuring uninterrupted patient care and revenue protection.

Why Sets Our GI Billing Apart From All

authenticity

Certified GI Experts

Skilled in gastroenterology coding, ensuring accurate CPT and ICD-10 usage.

Advanced Gastroenterology Billing Software

Seamless integration with your EMR ensures clean, compliant, and efficient billing.

HIPAA-Compliant Operations

Protecting patient data while maintaining regulatory compliance across all billing processes.

proven results

Full Gastroenterology RCM Solutions

From claim submission to AR follow-up, we streamline your gastroenterology revenue cycle management.

Proactive Denial Prevention

Our gastroenterology medical billing adapts to solo practices, multi-provider centers, and large GI groups.

Benefits

Benefits of Hello MDs' RCM Gastroenterology Billing Services

01

Faster Payments

With our Gastroenterology Revenue Cycle Management, expect quicker reimbursements, often within weeks, freeing up funds for your practice needs.

02

Lower Denials

Our approach cuts rejection rates by spotting issues early, saving you from lost revenue in GI billing.

03

Better Compliance

Stay aligned with rules through regular checks, reducing audit risks in your gastroenterology coding.

04

Time Savings

Free your staff from billing tasks, letting them focus on patient care while we manage gastroenterology billing.

05

Revenue Growth

With specialized knowledge in GI coding and Gastroenterology Medical Billing Service, your practice captures all billable services and avoids lost revenue.

Common GI Billing Challenges & Our Solutions

Challenges Challenge Perfect HelloMDs Solution
Coding errors Expert GI coders assign correct CPT/ICD codes for scopes, biopsies and motility studies.
Claim denials We identify root causes, resubmit affected claims and revise workflows to prevent recurrence.
Modifier misuse Our review team ensures correct use of modifiers such as -59, -51, and sequencing logic for multiple procedures.
Missing prior authorization We perform benefit checks and manage authorizations before service date to avoid payment delays.
Late payments AR follow-up and clean claim submission reduce days in A/R and boost reimbursement speed.
Compliance gaps Ongoing monitoring of GI payer rules, audit-ready files and documentation review keep you protected.
Reviews

What Our Clients Are Saying!

The feedback and experiences shared by our clients inspire us to continually improve, innovate, and deliver smarter solutions.
Here’s what healthcare professionals are saying about their experience with HelloMDs.

HelloMDs changed our GI billing game, fewer denials, faster payments, and our team focuses on patient care again.

Michael Stevens

Their GI-specific billing know-how meant we captured every scope and infusion correctly. Cash flow improved within months

Dr. Amanda Liu

The transparency and reporting from HelloMDs helped us understand what we were missing in GI billing and reclaim lost revenue.

Lisa Martinez

Ready to Optimize Your GI Practice Revenue?

Simplify your GI billing and boost revenue today! Partner with Hello MDs for gastroenterology medical billing support with a proper RCM solution. Schedule a free consultation now!

Frequently Asked Questions

These services handle claim submission, coding (CPT/ICD), payer follow-up and billing tasks specially designed for digestive-system practices.

Use precise gastroenterology coding with regular checks and certified pros to spot issues early, avoiding losses from mismatched claims.

Typical codes include CPT 45378 (diagnostic colonoscopy), CPT 43235 (EGD) and ICD-10 K21.9 (GERD) or K50.90 (Crohn’s disease).

Gastroenterology Revenue Cycle Management oversees from intake to payment, helping maintain steady cash with fewer interruptions.

Use accurate CPT/ICD codes, apply correct modifiers, document clearly for screening vs diagnostic procedures, and verify patient eligibility early.

A specialized provider focuses on GI-specific procedures, understands complex code/modifier rules for endoscopies and motility, and has payer-specific experience for GI practices.

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