GI Billing Specialists

Gastroenterology Billing Services

Endoscopy, colonoscopy, and GI procedure billing done right — every modifier, every time.

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94%
Clean Claim Rate
45d
Avg AR Resolution
30d
Credentialing

GI billing is driven by high-volume procedural work with some of the most complex modifier and bundling rules in outpatient medicine. We specialize in endoscopy suite billing, screening-to-diagnostic conversions, and the payer-specific rules that cause most GI practices to leave revenue on the table.

Common Challenges

Where Gastroenterology practices lose revenue

Modifier PT and screening conversions

When a screening colonoscopy finds a polyp, Medicare patients need modifier PT to preserve their zero cost-sharing. Missing it means patients get billed incorrectly and your practice faces disputes.

Bundling and multiple procedure rules

Same-day upper and lower endoscopy, add-on codes, and therapeutic vs. diagnostic code selection have strict bundling rules. Wrong combinations result in denials or audits.

Prior auth for surveillance and specialty scopes

Capsule endoscopy, EUS, and ERCP require prior authorization from most payers. Surveillance colonoscopies within certain intervals increasingly require auth too.

What's Included

Everything your Gastroenterology practice needs.

We handle the full revenue cycle for gastroenterology practices — from eligibility verification and coding through claims submission, AR follow-up, and denial recovery. One team. Full transparency.

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Colonoscopy and EGD billing — diagnostic and therapeutic codes
Modifier PT for Medicare screening-to-therapeutic conversions
Multiple procedure billing with modifier 51
Capsule endoscopy and EUS authorization management
Anesthesia/MAC coordination — avoid double-billing sedation
Pathology coordination and specimen billing compliance
Monthly SI Report — procedure-level revenue analysis

Ready to fix your Gastroenterology billing?

Get a free revenue cycle assessment — we'll show you exactly where the gaps are and what it would take to fix them.

Get a Free Assessment