SpecialtiesGastroenterology

Gastroenterology
medical billing

Screening or diagnostic — one word in the record changes who pays.

Two colleagues reviewing a printed report together
Where it leaks

Why this specialty
loses money.

The single largest source of GI billing loss is the screening-versus-diagnostic distinction. A colonoscopy that begins as screening and becomes diagnostic must be coded to reflect that, or the patient is billed for something their plan would have covered in full and the practice absorbs the dispute.

What makes it different

  • Screening versus diagnostic intent, and the modifiers that signal it
  • Anesthesia billed separately by a different provider
  • Pathology on specimens as its own claim
  • Facility versus office place-of-service differences
How it is covered

The same eight disciplines,
tuned to this specialty.

Gastroenterology billing is not a separate service — it is the same revenue cycle, with the rules that matter here applied at each stage. The assessment reviews all eight against your own data.

Revenue assessment

How is gastroenterology
billing performing for you?

A revenue assessment reviews all eight disciplines end to end and shows you where the reimbursement is going.

Before you go

See where your revenue is leaking.

A revenue assessment reviews billing, coding, denials, AR, credentialing and eligibility verification end to end.