Gastroenterology Billing Services to get you paid for all GI Procedures

GI doctors and gastroenterology practices in the US face medical billing and collection challenges. BilNow with its specialty-specific gastroenterology billing and coding services solves RCM issues for gastro practices for once and all. 

99% Paid Faster

Gastro Billing Services

Gastroenterology
Billing Pricing

3 %
Gastroenterology Billing Services

Our Tailored and Customer-Centered Gastroenterology Billing Solutions

A streamlined gastroenterology insurance billing for healthcare practitioners is an art that needs accuracy and efficiency due to the high complexity of healthcare systems and the increasing requirements of regulations that gastroenterology clinics need to follow. We do this for you by implementing a full-scale, efficient process with the integration of advanced technology and industry expertise.This ranges from simple to complex procedures such as colonoscopy, endoscopy, transjugular intrahepatic portosystemic shunts (TIPS), diagnostic testing (ultrasounds, X-rays, MRIs, blood tests, etc.), endoscopic retrograde cholangiopancreatography (ERCP), etc. We guarantee smooth operations, improving revenue cycle management (RCM) and the best possible financial results.

Revenue Cycle Management (RCM) Solutions

Gastroenterology billing practices are different from other medical billing services, as these need to handle a diverse range of procedures from colonoscopies and endoscopies to chronic disease management, and each procedure has its own coding and billing complexities. Our team does the magic by streamlining prior authorizations and the approval process, which is a common complexity in GI practices, for minimizing claim delays and easing administrative workload. Our deep experience in gastroenterology RCM service ensures you get accurate and precise coding, timely claims submission, and clean claims reimbursement to help your practice maintain financial performance at every level while only paying attention to patient care and leaving the rest to us.

Electronic Claim Submissions

Our expert billing services ensure accurate and clean claims submission electronically to the insurance companies and payers to reduce the chances of delays that are common in manual submission of gastroenterology bills and claims. From colonoscopies to advanced gastroenterology billing procedures, our team gets billing right with our gastro-focused electronic claim submission services.

Coding Accuracy and Specificity

Our coding experts finely distinguish between diagnostic and screening procedures. As gastroenterology procedures involve complex and varying facilities supported by different teams like Clinical Lab, Internal Medicine, Hepatology, gastroenterology billing experts must use accurate & updated CPT & HCPCS GI Coding and proper complex modifiers. Our certified GI coders stay updated with all certified and standard gastroenterology changes to ensure accurate and proper coding to reduce denials. Our professional gastroenterology coding expertise spans across Abdominal & Retroperitoneal Ultrasound, Digestive System Surgery Procedures, and Complete Gastroenterology Procedures.

Aggressive Denial Management & Appeals

Our denial and appeals management system deploys thorough analysis, calculated arguments, and end-to-end gastroenterology billing solutions to get your rejected claims turned into paid invoices. We follow the targeted denial solutions procedure to have actionable insights in hand to improve documentation and claims management, thus reducing the chances of future denials. Speedy recovery of rejected claims and prevention of potential future denials are now possible with our dynamic denial management and resolution. Moreover, our customized solutions are designed in such a way that they meet the specific requirements of clinics, hospitals, and healthcare providers, maximizing recovery rates.

Automated Workflows

Imagine the power of smart technology that automates workflows and supercharges revenue cycles! BilNow has made it possible to eliminate bottlenecks, reducing efficiencies. We combine advanced and ultra-modern technology and human expertise to optimize the entire gastroenterology revenue cycle from claim review to submission and approval to cash inflow. Our GI experts rely on industry-leading tools and cutting-edge software to automate workflows, especially repetitive tasks, eliminate data errors, expedite the claims submission process, and improve collections.

Performance Analysis & Reporting

By deploying data-driven reporting and actionable analytics, BilNow offers practical data insights into the gastroenterology revenue cycle and facilitates strategic expansion and well-informed decision-making. With our performance analytics and reporting, healthcare providers can seamlessly identify patterns and revise the workflows to improve their financial performance. We at BillNow do regular analysis of data to detect any shortcomings in our existing billing process. These findings are then documented in a report analytics format and shared with the clients for process refinement and strategic decision-making.

Compliance & Documentation Support

BilNow, HIPAA & payer compliance gastroenterology medical billing services smooth the complex coding process and enhance billing and insurance claim submissions. We also minimize claim denials, manage appeals, boost receivable collections, address revenue leaks, and guarantee high financial performance of your practice. By ensuring full compliance and documentation support with constantly evolving regulatory changes, our legal compliance and audit support protects you from challenges, complexities and improves operational integrity.

Why Choose BilNow Gastroenterology Billing Company?

BilNow delivers exceptional and innovative solutions to its providers across the US that improve their operational, financial, and compliance results with customized and customer-specific gastroenterology billing services. With the support of our innovative techniques, businesses can easily simplify intricate gastroenterology billing procedures by working with us, enjoy compliance, accuracy, and maximized profits.

Pre Authorization & Verification

Do not waste your important patients’ care time and resources on non-revenue-generative activities! Because at BilNow, we hit the brakes before you render unauthorized or non-covered services to your patients. Our gastroenterology prior-auth experts carefully review and verify each step of the cycle to patient insurance eligibility and benefits, and obtain prior authorization to file accurate claims, then prevent case denials, payment denials, and increase the cash flow.

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Regulatory Compliance Assurance

We have included strong compliance and regulatory checks in our sophisticated GI process coding to ensure all recent rules and regulations and updates in existing regulatory requirements are followed, lowering the risk of rejection and shielding healthcare providers from possible audits.
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Efficient Claim Submission Process

By including extensive patient and claims eligibility verification systems, we expedite your practice payment cycle and streamline the claim submission procedure to guarantee claims and bills are compliant and carefully reviewed by our experts prior to submission.
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Resource Allocation Efficiency

With our years of expertise, we have learnt the benefits of automation. That is why by adopting automated repetitive billing procedures, we maximize resource allocation and free up the administrative workforce to just concentrate on patient care and strategic projects, and leave the administrative responsibilities to us.
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Medical Coding and Charge Entry

We use modern gastroenterology software and programs that support codes and associated anatomical images related to gastroenterology practice. Our end-to-end gastroenterology billing services will take off your billing burden, and we will also take care of the billing process, i.e., tracking and following claims, carrying out posting and account reconciliations, resolving clearing house-related issues, recording patient copayments, and other payments.
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Payment Posting & Reconciliation

By choosing BilNow to outsource gastroenterology billing services, you will have cost-effective, efficient, compliant, reliable, and high-quality support services. We post payments and adjustments to accounts, and do account reconciliation to ensure accurate and timely accounting and financial reporting. The streamlined management process of the entire billing system ensures a fully optimized revenue cycle.

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Expert Gastroenterology Billing Team

What sets us apart from our competitors in gastroenterology medical billing services is specialist-focused coding, bundling & modifier accuracy, prior authorization & eligibility verification, and a customized performance dashboard. Our expertise in common and advanced procedures are industry-proven from colonoscopies to ERCPs.

Our experienced GI billing team minimizes the underpayments by properly using modifiers and procedure grouping. They apply the rule-based coding logic to make sure the right CPT codes are deployed to ensure timely claim submissions and reduce claim denial issues.

Certified Gastroenterology Coder (CGIC) Certification

Certified Medical Reimbursement Specialist (CMRS – AMBA)

SOC 1 / SOC 2 Type II Accreditation

Certified Professional Compliance Officer

HIPAA Compliance Certification

The Compliance Team (DMEPOS accreditation)

Specialized Gastroenterology Billing by Service Category

By applying the right code in the right selected category means you have won half of the battle. Compared to other medical billing claims, gastroenterology billing claims are more challenging due to complexities in codes and the equipment category involved. So, chances of denials and rejections are very high if a streamlined process has not been followed from the start. Our experienced gastroenterology billing specialists ensure accurate coding and the relevant equipment category, full completed documentation, and claims reimbursement for all GI-related procedures and services. BilNow properly focuses on category-specific expertise to ensure lower chances of claim denials and maximized revenue cycles.

Endoscopy & Colonoscopy Procedures

  • Diagnostic Colonoscopy (CPT 45378)
  • Screening Colonoscopy (G0105, G0121)
  • Colonoscopy with Biopsy, Polypectomy, or Ablation (CPT 45380–45385)
  • Upper GI Endoscopy (EGD) (CPT 43235–43239)
  • Capsule Endoscopy (CPT 91110)
  • Coding for multiple procedures with modifier application (59, 51, XS, XU)

Therapeutic Gastroenterology Services

  • Endoscopic Retrograde Cholangiopancreatography (ERCP) (CPT 43260–43278)
  • Esophageal Dilation (CPT 43220, 43248)
  • Endoscopic Ultrasound (EUS) (CPT 43231–43259)
  • Hemorrhoid Banding (CPT 46221)
  • GI Stent Placement or Removal (CPT 43266, 43276)

Evaluation & Management (E/M) Services

  • Initial & Follow-Up Office Visits (CPT 99202–99215)
  • Preventive Services & Screenings (CPT 99381–99397)
  • Hospital & Inpatient Consultations (CPT 99221–99233)
  • Telehealth GI Consults (modifier 95, POS 02/10)
  • Time-based coding & medical decision-making documentation

Diagnostic Testing & Pathology

  • Anorectal Manometry (CPT 91120)
  • Hydrogen/Methane Breath Testing (CPT 91065)
  • pH Monitoring Studies (CPT 91034–91038)
  • Biopsy Specimen Pathology Coding (CPT 88305–88309)
  • Imaging Guidance for GI Procedures (CPT 76975, 77002)

Anesthesia & Moderate Sedation Billing

  • Moderate Sedation for GI Procedures (CPT 99151–99157)
  • Anesthesia Services for Endoscopic Procedures (CPT 00810, 00740)
  • Medical direction & concurrency rules for CRNAs and anesthesiologists
  • Proper use of modifiers (AA, QZ, QX, QS)

Preventive & Screening Services

  • Screening Colonoscopy (G0105, G0121)
  • High-Risk Colorectal Cancer Screening (CPT 45378 with modifier KX when required)
  • Preventive E/M Services for GI health
  • Modifier 33 application for preventive services

Unmatched Gastroenterology Billing Codes and Compliance Specialties

As each product and equipment category in the gastroenterology billing process has on set of unique coding rules, procedures, payer guidelines, and modifier requirements, that is why gastroenterology billing process needs specialized knowledge that BilNow billing experts have, especially for diagnostic coding vs colonoscopy screening, anesthesia rules, multiple endoscopic procedures, and pathology billing.

Our accredited GI billing experts have deep expertise in ICD-10-CM, CPT, and HCPS Level II coding onboard, ensuring accurate claims submission at all levels, reduced claims denials, and highly optimized reimbursement and stable RCM for GI practices.

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CPT  & HCPCS Coding Expertise

Our billing professionals possess CPT and HCPCS expertise, which is why providing category-specific billing support across the entire spectrum of gastroenterology services is not difficult for us.
  • Endoscopic & Colonoscopy Procedures – diagnostic, screening, biopsy, polypectomy (CPT 45378–45385, G0105, G0121)
  • Upper GI Endoscopy (EGD) & Capsule Endoscopy – with or without biopsy (CPT 43235–43239, 91110) Read More
  • Upper GI Endoscopy (EGD) & Capsule Endoscopy – with or without biopsy (CPT 43235–43239, 91110)
  • Therapeutic Procedures – ERCP, EUS, esophageal dilation, stent placement – (CPT 43260–43278, 43231–43259)
  • Diagnostic & Ancillary Services – hydrogen breath test, pH monitoring, manometry – (CPT 91065, 91034–91038, 91120)
  • Anesthesia & Moderate Sedation Billing – for endoscopic procedures (CPT 99151–99157, 00810, 00740)

Compliance & Documentation Expertise

Throughout the claim submission and approval process, BilNow makes sure every gastroenterology claim being submitted through its platform is accurate and fully meets the regulatory requirements, payer-provided checklist, and CMS standards.

  • Accurate ICD-10-CM Diagnosis Mapping – linking procedures to conditions (GERD, IBS, Crohn’s disease, colorectal cancer screening, etc.)
  • Modifier Application Expertise – correct use of 59, 51, 33, 25, XS, XU to avoid bundling issues and ensure compliance with NCCI edits Read More
  • Preventive vs. Diagnostic Coding Accuracy – clear distinction for screening vs. diagnostic colonoscopy to avoid payer denials
  • LCD/NCD Adherence – following CMS Local and National Coverage Determinations for GI procedures
  • Medical Necessity Documentation – verifying provider notes, pathology reports, and prior authorizations support claims
  • Audit Preparedness – compliance with RAC, MAC, and commercial payer audit requirements
  • Appeals & Denial Management – proactive follow-ups and resubmissions with supporting documentation

Medicare & Medicaid Compliance

Our gastroenterology billing team is proficient in managing both federal and state-level compliance requirements for gastroenterology practices. We assure 100% compliance with all prevailing regulatory requirements of Medicare, Medicaid, CMS billing, etc., including:

  • Medicare Part B Coverage for Screening Colonoscopies – correct use of G0105, G0121, and modifier 33
  • Medicaid State-Specific Rules – adapting claims for state-level GI procedure coverage Read More
  • Prior Authorization Workflows – management of payer requirements for advanced endoscopic and therapeutic services
  • Accurate Preventive Coding for Affordable Care Act (ACA) Compliance– ensuring patients receive covered screenings without cost-sharing

Frequently Asked Questions

We have certified and industry-leading experienced team in gastroenterology coding who ensures accurate coding at every phase right from the start of screening and diagnostic phase to anesthesia and pathology phase We also apply correct modifiers to ensure each procedure is being settled separately when appropriate

Common complexities during the billing process are coding mistakes and claim denials. BilNow mitigate these through advanced billing software, rigorous training and continuous process monitoring. We deploy the expert billing methodologies and utilize denial management protocols to refine practices and enhance reimbursement rates.

Being your trusted gastroenterology billing company, you can easily scale your services in all areas without worrying about drop in quality, hidden charges or account transfers. We adapts tailored approach to align with your practice changing needs so your gastroenterology practice grows further backed by our cost cutting measures.

Our experienced team proficiently monitors the industry trends to stay updated with payer policies, regulatory changes and evolving SOPs. Moreover, our gastroenterology coding, billing and RCM experts maintain regular communication with government and leading private insurance payers to have updates of revised quality standards to ensure full compliance.

Providing the full scale services need expertise in applying accurate codes, modifiers and ensuring proper documentation too. As BilNow handles everything in the billing cycle from pre-authorization, eligibility verification and claims submission to payments clearance and underpayments tracking, streamlining Revenue Cycle Management (RCM) has become our specialty.