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Gastroenterology Billing & Coding Services

Gastroenterology is the branch of medicine dealing with the digestive system and its disorders. This specialty focuses on diseases affecting the gastrointestinal tract, including the organs from mouth into anus, along the alimentary canal. Physicians practicing in this field are called gastroenterologists.

To maintain a compliant and financially successful practice, gastroenterologists need to stay updated on the various coding guidelines and payer-specific protocols. Medical billing and coding for gastroenterology is challenging and requires an expert range of knowledge to ensure maximum reimbursement. These challenges include billing for colorectal cancer screenings vs. colonoscopies, motility, and GI function studies, documenting proper levels of evaluation and management Services, category III codes for treatment of GERD,

Additionally, gastroenterology billing and endoscopy billing requires the ability to track underpayments effectively. This requirement often exceeds the competency of most billing software and in-house billing staff. GI practices not effectively targeting underpayments face massive revenue hemorrhage.

RM Healthcare is well-versed in both gastroenterology billing and endoscopy billing. Our team of gastroenterology medical billing and coding specialists works hand-in-hand with your practice to ensure you receive maximum reimbursement for Services provided. RM Healthcarewill identify problem areas such as the correct use of modifiers, evaluate underpayments, and manage all aspects of your practice's billing.

Gastroenterology Billing & Coding Services

Medical Billing & Coding Services Expertise in Gastroenterology

At RM Healthcare, we have a client base that spans across all 50 states, covers a wide range of hospitals, physician practices (including GI practices), and medical billing companies. We employ our experience and knowledge acquired through a decade of working with gastroenterologists in fixing & improving your revenue cycle. Our coders are proficient in ICD-9/10, CPT, HCPCS coding guidelines provided by CMS and AMA, and are certified by the American Academy of Professional Coders (AAPC).

Applying best practices for Gastroenterology Billing & Coding Services

We understand the nuances involved in GI medical billing, such as how to bill a colonoscopy with the advancement beyond the splenic flexure. Otherwise, the documentation would be incomplete and would only support a sigmoidoscopy. Our certified coders work with you 24/7 to prevent problems caused by incorrect use of modifiers, as well as educate your in-house billing specialist on how to avoid them. Our professional billing & coding experts work to prevent claim denials while increasing the number of reimbursements. We have built our delivery model on a strong technology foundation and a team that focuses on providing data-driven solutions to ensure fewer denials and increased revenue.

Benefits of our Gastroenterology Billing and Coding Services :

We bring excellence, knowledge, and accuracy to GI billing and coding Services while building a revenue cycle devoid of defects for your practice. With capabilities across the revenue cycle chain- patient demographics entry, insurance verification, insurance authorizations, coding, billing, reconciling of accounts, and denial management, we can add value to your organization through analytics-driven and result oriented processing. Our team strives to introduce a friction-free billing, coding, claim submission, and payment posting process. We ensure consistent accounts receivable follow-up and prior authorization to avoid claim denials. Our denial management team's #1 priority is shifting your focus from denial management to denial prevention. RM Healthcare helps gastroenterologists offer excellent care for their patients, focusing on improving their administrative & financial excellence. We bring you a team of specialists who are:

  • Certified from The American Association of Professional Coders (AAPC)
  • Familiar with medical billing software such as Lytec, Medic, Misys, Medisoft, NextGen, and many more
  • Trained in coding software such as EncoderPro, FLashcode, CodeLink, etc.,
  • Apply standard CPT, HCPCS procedure and supply codes, and ICD-CM diagnosis coding as per CMS guidelines
  • Successful in processing medical bills with leading commercial carriers such as United health, WellPoint, Aetna, Humana, HCSC, Blue Cross Group, etc.
  • Able to negotiate successfully with Medicare and state-specific Medicaid policies.

Our clients typically experience revenue improvement by over 20% and reduced denials by a minimum of 10%. We achieve this by applying our expertise, process rigor and by employing an excellently trained team.


RM Healthcare handles more than 250,000 patient support calls each month