Gastroenterology Billing Services

Simplifying Complex Billing for Gastroenterology Practices

Gastroenterology practices involve complex procedures, changing regulations, and a large volume of claims, making accurate billing crucial. At Hello MDS, we specialize in handling the unique challenges of gastroenterology billing, ensuring your practice maximizes reimbursements and minimizes denials.

Challenges in Gastroenterology Billing

Complex Procedures: Endoscopies, colonoscopies, and other specialized procedures involve detailed coding and documentation.

High Claim Denial Rates: Mismanagement of modifiers and CPT codes often leads to payment delays.

Regulatory Compliance: Constant updates to payer guidelines and ICD-10 codes require vigilant monitoring.

Time-Consuming Eligibility Checks: Verifying patient benefits for procedures like ERCP and capsule endoscopy can slow down operations.

Key CPT Codes for Gastroenterology

Diagnostic and Screening Colonoscopy:

45378: Diagnostic colonoscopy

45380: Colonoscopy with biopsy

45385: Colonoscopy with polypectomy

Upper Gastrointestinal Endoscopy:

43235: Diagnostic EGD

43239: EGD with biopsy

Other Gastroenterology Procedures:

74261: Small bowel imaging

47562: Laparoscopic cholecystectomy

Hello MDS ensures accurate coding for these and other gastroenterology procedures, reducing claim denials and optimizing reimbursements.

Hello MDS’s Gastroenterology Billing Solutions

Accurate Coding and Claim Submission

Our certified coders specialize in gastroenterology procedures, ensuring precise use of CPT and ICD-10 codes.

Denial Prevention and Management

We proactively address common issues like mismatched codes and missing modifiers to reduce claim rejections.

Eligibility Verification

Comprehensive insurance benefit checks for procedures ensure smooth billing and faster reimbursements.

Revenue Cycle Optimization

Advanced analytics and reporting tools help identify bottlenecks and improve cash flow.

Why Choose Hello MDS for Gastroenterology Billing?

Increased Revenue: Minimized claim denials lead to higher reimbursements.

Time Efficiency: Free your staff to focus on patient care while we handle the billing complexities.

Regulatory Compliance: Stay up to date with evolving payer guidelines and compliance requirements.

Comprehensive Reporting: Gain insights into your financial performance through detailed reports.

Ready to Optimize Your Gastroenterology Billing?

Let Hello MDS handle your gastroenterology billing needs. From endoscopies to advanced diagnostic procedures, our expertise ensures your practice operates seamlessly and profitably.
Get in touch with us today to optimize your revenue cycle management and prioritize providing exceptional patient care.