Gastroenterology Medical Billing Services
Accurate, Billing for Gastroenterology Practices
GI billing involves complex procedures, endoscopy coding, and strict documentation requirements. We deliver accurate, compliant billing that reduces denials, supports proper reimbursement, and keeps revenue flowing consistently.
Understanding the Complexity of Gastroenterology Billing
Gastroenterology practices face billing challenges that require specialty-specific expertise, including:
- Complex CPT coding for endoscopy and colonoscopy procedures
- Modifier usage for multiple procedures and discontinued services
- Documentation requirements for medical necessity
- Bundling and unbundling rules under NCCI edits
- High denial risk for screening vs. diagnostic procedures
- Prior authorization and payer-specific policies
- Medicare and commercial payer scrutiny
When these factors are not managed carefully, practices experience underpayments, repeated denials, and growing accounts receivable.
Our role is to manage these complexities consistently—before they impact cash flow.
Gastroenterology Billing Services We Provide
Accurate claim preparation, submission, and follow-up aligned with GI services and payer rules.
Medical Billing Management
Accurate claim preparation, submission, and follow-up aligned with pediatric care services.
Gastroenterology Medical Coding
ICD-10 and CPT coding for GI procedures based on documentation, modifiers, and payer guidelines.
Endoscopy & Procedure Billing Support
Specialized handling of colonoscopy, EGD, and related procedures to reduce denials and downcoding.
Eligibility Verification & Authorization
Verification of coverage, benefits, and authorization requirements before services are delivered.
Denial Management & Appeals
Structured review of denied GI claims to identify root causes and reduce repeat issues.
Payment Posting & AR Follow-Up
Accurate posting of payments with consistent follow-up on unpaid or underpaid claims.
How Our Gastroenterology Billing Approach Helps Practices
Our gastroenterology billing services are designed to support:
-
Fewer Preventable Denials
Claims aligned with GI coding rules and payer policies. -
Improved Reimbursement Accuracy
Reduced underpayments and inappropriate downcoding. -
More Predictable Cash Flow
Consistent follow-up on high-value procedures. -
Lower Administrative Burden
Less staff time spent correcting billing issues and appeals. -
Stronger Compliance
Billing practices aligned with Medicare and commercial payer requirements. -
Clear Visibility Into Performance
Straightforward reporting without unnecessary complexity.
Who We Support
Our gastroenterology billing services are suited for:
- Independent gastroenterology practices
- Multi-provider GI groups
- Practices performing office-based and ASC procedures
- GI practices serving Medicare and commercial payers
Whether your focus is diagnostic procedures, preventive screenings, or high-volume endoscopy services, structured billing helps stabilize revenue and reduce risk.
Gastroenterology Billing Managed with Care and Accountability
Gastroenterology billing requires precision, consistency, and a clear understanding of how documentation and coding decisions affect reimbursement.
At Thrive Medical Billing, we don’t just submit GI claims.
We identify where revenue is lost, recover what’s recoverable, and correct the processes that cause repeat billing issues.
That’s how we support gastroenterology practices – quietly, carefully, and consistently behind the scenes.
Free Gastroenterology Billing Audit
If your gastroenterology practice is facing denials, underpayments, or rising accounts receivable, a focused billing audit can help identify where issues originate and how to correct them.
Our review evaluates GI billing workflows, coding accuracy, documentation alignment, and follow-up processes - without disrupting daily operations.