Gastroenterology Billing Services for GI Practices That Want Fewer Denials
Solution360 provides gastroenterology billing services for US GI practices and ambulatory surgery centers. Our certified team handles colonoscopy, EGD, ERCP and IBD claims from coding through final payment.We help you cut denials, collect faster and keep your attention on patients.
Why Gastroenterology Billing Is So Complex
Gastroenterology billing does not follow a simple visit and bill pattern. A colonoscopy may start as a screening, but once a polyp is removed it shifts into a different category. That single change alters the coding, the coverage and what the patient owes. Add in high procedure volume, paired claims, and costly IBD drugs and even one small error can trigger a denial.
- Two Claims For One Procedure
- Payer-specific Modifiers
- Biologic Prior Authorization
How Our Gastroenterology Billing Services Help
We run your billing from start to finish, with close attention to the details GI claims depend on. Before a claim leaves our desk, we confirm the coding matches what actually happened during the procedure.
If a payer denies or underpays, we keep working it until it's resolved. And since we work inside your current EHR and payer portals, your team doesn't have to learn anything new.
- Pre-submission claim audits for screening, diagnostic and therapeutic coding
- The right modifier for each payer such as PT for Medicare and 33 for many commercial plans
- Correct diagnosis coding and sequencing to protect preventive benefits
- Eligibility checks and prior authorization support
- Denial follow-up and appeals with the cause of each denial tracked
- Credentialing help so new physicians can bill from day one
Our Performance Metrics
Providers
Key Benefits of Outsourcing Your Billing
Finding, training and keeping GI certified coders is hard and losing one hurts. An outsourced team does this work all day long. So claims go out on time and follow ups happen on schedule. You get steadier cash flow and fewer surprises.Your staff also gets hours back for patients instead of spending them on hold with payers.
HIPAA Compliance
Lower Overhead
Happier Patients
Faster, Steadier Payments
Fewer Denials
Clear Reporting
Common Gastroenterology Medical Billing Challenges
Colonoscopy coding errors: Screening, surveillance and diagnostic exams each have their own rules.
Wrong or Missing Modifiers
Thin Documentation
Prior Authorization Delays
Mismatched Professional and Facility Claims
Anesthesia and Pathology Conflicts
Constant Code and Policy Changes
Higher Patient Balances
Denials Nobody Works
Procedures We Support
We bill everything a GI practice does, from routine screenings to advanced therapeutic work. That covers office based practices and ASCs and we know the coding, documentation and payer rules behind each service. Whatever your procedure mix looks like, the claim should reflect the work that was actually done.
- Capsule Endoscopy
- PEG Tube Placement
- Hemorrhoid Banding and Anoscopy
- Office Visits and E/M Services
- IBD Infusion and Biologic Administration
- Anesthesia and Pathology Billing
- Endoscopic Ultrasound (EUS), Including Fine Needle Aspirationv
- Endoscopy Retrograde Cholangiopancreatography (ERCP)
- Screening, Surveillance and Diagnostic Colonoscopy
- Esophageal Dilation and Stent Placemen
- Colonoscopy With Biopsy, Polypectomy (Snare and Forceps) and Lesion Removal.
- Flexible Sigmoidoscopy
- Esophagogastroduodenoscopy (EGD), with or Without Biopsy
Our Billing Process
Step 1
Practice Assessment
We review your billing workflow to identify inefficiencies, errors, and revenue gaps.
Step 2
System Integration
We connect with your EHR and practice management systems for seamless data exchange.
Step 3
Coding & Claim Management
We ensure accurate coding, clean claim submission, and timely claim follow-up.
Step 4
Payment Tracking
We track every claim through payment, resolution, or necessary follow-up.
Step 5
Issue Resolution
We quickly address denials, payer issues, and outstanding balances.
Step 6
Optimization & Reporting
We monitor performance and provide clear reports to continuously improve your revenue cycle.
Integration and Technology that Fit Your Workflow
We work with the systems you already have. That means your EHR, endoscopy documentation tools and practice management software so your providers keep charting the way they always have.
Charges, claims and payments stay connected, which cuts retyping and the errors that come with it. Patient data moves through secure, HIPAA compliant channels the whole way. Dashboards then show you where your revenue stands at any moment.
Frequently Asked Questions
How much do gastroenterology billing services cost?
Most companies charge a percentage of collections, a flat monthly fee, or a mix of both.
How long does it take to switch to an outsourced billing company?
That depends on your practice size and how organized your records are. A good partner plans the handoff so your claims keep moving.
How do I know if my GI practice should outsource its billing?
Rising denials, late claims and staff spending more time on billing then on the patients are the usual signs.If two or three sound familiar, it's worth comparing your options.
What is a Business Associate Agreement (BAA) and do I need one?
It's a required contract that sets out how an outside company must protect your patient data. Have it signed before any patient information is shared.
Ready to Stop Losing Money on Procedures You've Already Done?
Let our GI billing specialists look over your recent claims and show you where revenue is slipping away. No long contracts and no pressure, just straight answers on how to collect what you've earned.
Get Your Free Billing Review