Before the procedure
Set clear expectations with patients and payers.
- Benefit verification for procedures
- Screening or diagnostic coverage checks
- Prior authorization tracking
- Patient responsibility estimates
Gastroenterology billing · Specialty billing
GI billing for the office, the endoscopy suite and the ASC.
A screening colonoscopy that turns diagnostic can change the claim and the patient’s bill. We handle that detail, along with facility, pathology and infusion work.
Works with your current systemScope and handoffs agreed upfrontBAA before PHI access
A clear scope. A consistent handoff.
Support designed around real practice work.
Gastroenterology claims depend on why a procedure was scheduled and what was found. Screening and diagnostic rules, facility and professional claims, pathology and biologic infusions all need to line up before the claim goes out.
Procedures and facility claims
Bill the physician and facility sides from the same record.
- Endoscopy and colonoscopy claims
- Screening converted to diagnostic review
- Ambulatory surgery center claims
- Pathology claim coordination
Infusions and follow-up
Keep high-cost therapies from stalling.
- Infusion and biologic claims
- Drug authorization tracking
- Denial review and appeals
- Patient balance follow-up
Medical billing across specialties
Primary care, behavioral health, specialty and facility-based billing.
Billing details vary with the service, payer and documentation. We begin by learning how your practice works and can support a wide range of specialties and care settings.
How we begin
A measured start before the work is handed over.
- 01
Review the workflow
We learn your payers, billing system, current backlog and where this work stalls today.
- 02
Set the scope
Agree on which queues we own, what stays with your staff and how exceptions come back to you.
- 03
Start with secure access
Document the handoff and sign a business associate agreement before any PHI is shared.
- 04
Work and review
We work the agreed queues, record each follow-up and review open items with your practice.
Questions
Before you get started.
We’ll use an initial conversation to understand the work, the current system and the boundaries your practice needs.
Do you handle ASC claims?
Yes, within an agreed scope. We set up how facility and professional claims are worked so each one reflects the same case.
How do you handle a screening that becomes diagnostic?
We review the record and the plan’s rules, then bill as the documentation shows. Your physicians confirm the clinical details.
Start with a conversation
Let’s talk about the work you want off your team’s plate.
We’ll discuss your workflow and what a practical service scope could look like. Please don’t share patient details on the call booking form or this website.
Or call (844) 874-2236