Specialty billing
Gastroenterology medical billing
The screening-versus-diagnostic distinction decides what the patient pays, so getting it wrong produces complaints as well as denials.
Book a Free ConsultationWhat we handle for gastroenterology practices
Endoscopy and colonoscopy coding, including screening versus diagnostic rules.
Screening and diagnostic
Colonoscopy coded under whichever set of rules applies to the encounter.
Modifier PT and 33
Applied when a screening becomes diagnostic, protecting the patient's preventive benefit.
Facility coordination
Professional, facility and anesthesia claims kept consistent with one another.
Polypectomy technique
Coded by the removal method documented.
Common pitfalls
Where gastroenterology claims go wrong
These are the errors we look for first when reviewing a practice in this specialty. If any sound familiar, a billing review will tell you what they are costing.
- A screening that found a polyp billed as purely diagnostic, wrongly shifting cost to the patient.
- Surveillance procedures billed sooner than the coverage interval allows.
- Missed modifiers that would have preserved preventive coverage.
Other specialties we support
Not sure where your revenue is leaking?
Book a free review. We will look at your recent claims, denial patterns and A/R aging, and tell you what we find — whether or not you work with us.