Gastroenterology Billing Experts

Accurate Billing for Endoscopies, Colonoscopies & GI Procedures

From diagnostic colonoscopies and EGDs to ERCPs and capsule endoscopy, we specialize in gastroenterology billing that minimizes denials and maximizes revenue. Our certified coders and billing experts help you stay compliant with evolving coding guidelines while getting paid faster.

Trusted by GI Specialists Nationwide

About Us

GI Billing Built for the Complexity of Digestive Health Practices

At RCM firms, we offer specialized billing services tailored for gastroenterologists—covering screening and diagnostic procedures, pathology, anesthesia coordination, and ASC billing. We know what codes trigger denials and how to avoid undercoding or unbundling mistakes.

Whether you're managing a solo GI clinic or part of a hospital network, our team aligns with your workflow, software, and reporting style. We also stay updated on MACRA, MIPS, and commercial payer guidelines to support your compliance and reimbursement strategy.

What Sets Us Apart

Colonoscopy Screening & Diagnostic Coding
ERCP & Capsule Endoscopy Billing
EMR Integration with Athena, eClinicalWorks
Appeal Handling for Scope Denials
Anesthesia & Pathology Coordination

Mission Statement

We help GI providers get paid accurately and consistently by eliminating coding errors, managing denials, and making the revenue cycle stress-free. Your focus should be on digestive care—we’ll handle the rest.

Why Gastroenterologists Choose RCM firms

Gastroenterology billing is complex—requiring deep understanding of procedure bundling, pathology coordination, and high-volume claim handling. Our experts help practices capture every dollar they’re owed while reducing claim rejections and administrative burdens.

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GI-Specific Coding

Billing expertise for CPTs like 45378, 43235, 91110, and modifier rules for pathology and sedation.

Faster Payments

Optimized claim scrubbing, EDI submission, and payer follow-up reduce AR days significantly.

Specialized Account Managers

Dedicated support team with experience in high-volume GI outpatient and ASC billing.

Fully HIPAA-Compliant

Data security protocols and audit trails built to protect PHI and ensure regulatory compliance.

Pricing

Flexible Gastroenterology Billing Plans

We offer transparent pricing for GI practices of all sizes. No startup fees. No long-term contracts. Just accurate billing and optimized collections tailored to your scope and monthly revenue.

Small Practices

For GI clinics billing under $20,000/month.

5% of collections

Large Practices

For GI groups billing over $20,000/month.

4% of collections

What’s Included

Full GI billing cycle management
Claim scrubbing, denials, and AR follow-up
Endoscopy & Colonoscopy CPT coding
Monthly performance reports & payer insights

Rates are flexible and can be tailored based on volume or scope. Let’s discuss it on a quick call.

How it works

Simple and Smart GI Billing Workflow

From new patient visits to endoscopy suites and outpatient procedures, our gastroenterology billing workflow is built for speed, accuracy, and compliance. Whether you're an ASC or a private GI group, onboarding is fast and frictionless.

Intro Call & Assessment

We review your GI procedures, billing pain points, and payer mix to build a custom billing solution.

EHR Setup & Credentialing

We integrate with your EMR, set up secure data exchange, and begin any required payer enrollments.

Charge Capture & Claim Submission

We collect encounter details, validate CPTs and modifiers, and file electronic claims within 24 hours.

Reimbursement & Reporting

We follow up on claims, manage denials, and send detailed monthly reports to track collections and trends.

0%

Gastroenterology Claim Accuracy

0 Days

Avg. Payment Turnaround

0%+

Revenue Growth from Clean Billing

Our Services

Gastroenterology Billing Services That Maximize Reimbursements

Whether it's colonoscopies, endoscopies, or outpatient GI procedures, our billing team understands the unique challenges of gastroenterology coding and payer requirements. We ensure claims go out clean, complete, and fast.

GI-Specific CPT Coding

Expert CPT coding for scopes, biopsies, anesthesia billing, and bundled procedures to ensure proper payment.

Modifier & Compliance Accuracy

Proper use of modifiers (e.g., 33, 59, 26) for multiple procedures, biopsies, and sedation to meet payer policies.

Same-Day Claim Submission

Our coders process and submit claims within 24 hours of receiving charges—no delays, no revenue left behind.

Denial Management & Appeals

Appeal denied GI claims for issues like screening vs. diagnostic coding, prior auth, or incomplete documentation.

Patient Support & Statements

Send patient-friendly bills, clarify insurance rejections, and support patients on deductibles and balances.

Actionable Financial Reporting

Get deep analytics on denial reasons, payer behavior, code usage, and revenue per provider or facility.

FAQ

Frequently Asked Questions

Common questions about our gastroenterology billing services, coding accuracy, payer compliance, and reporting capabilities.

We provide end-to-end billing services for gastroenterologists, including CPT/ICD-10 coding for colonoscopies, endoscopies, biopsies, and screenings, claim submission, AR management, denial resolution, and customized reporting.

Yes. Our certified coders specialize in GI procedures, including colonoscopies, EGD, ERCP, capsule endoscopy, hemorrhoid banding, and advanced therapeutic endoscopy. We ensure accurate coding aligned with payer guidelines.

Absolutely. We apply modifiers like 33, 59, 52, and PT appropriately for screenings, incomplete procedures, or multiple services. Our team ensures documentation supports every claim to reduce denials.

Yes. We manage billing for both professional (physician) and facility (ASC or hospital) services. Our workflows are designed to prevent duplication and ensure accurate reimbursement for each component.

We verify payer requirements for procedures like EGD or advanced therapeutic endoscopy. Our team checks medical necessity, secures prior authorizations, and ensures complete documentation before submission.

We track all GI-specific denials—such as bundling issues, incomplete documentation, or inappropriate modifier use—and reprocess claims quickly. Appeals are submitted with detailed clinical support when required.

Yes. We integrate with popular EHRs and GI platforms such as gGastro, Nextech, eClinicalWorks, and Provation. This allows us to receive charge data seamlessly and process claims faster.

Contact

Get in Touch with Our Gastroenterology Billing Experts

From colonoscopies to ERCPs, we understand the complexity of gastroenterology billing and coding. Reach out to our team today for support with accurate claims, modifier compliance, and faster payments. We’ll handle the paperwork, so you can focus on patient care.

Emailinfo@rcmfirms.com

Address

123 Main Street Apt 4B Springfield,
IL 62701 United States