Gastroenterology

Following the development of gastroenterology

Gastroenterology has developed into a very profitable field throughout time. While revolutionary developments in diagnosis and treatment methods have enabled doctors to maintain a better standard of clinical quality, a steady rise in patient visits may have contributed to increased anxiety related to medical billing. This could be the cause of the repeated occasions in which your payors have underpaid, delayed, or refused your medical claims because they believe there are billing problems or inadequate coding.

However, with our experienced medical billing for gastroenterology at your disposal, you can anticipate reducing those unwanted occurrences of underpayment, denial, or delay. Our skilled and qualified billing professionals have a reputation for ensuring accurate coding, prompt submission, and successful reimbursement of claims from health insurance companies in all 50 states of the United States.

Were you aware?

2013 saw the replacement of CPT code 43234 (Upper GI simple examination) with CPT code 43235 (Upper GI includes stomach, esophagus, and either the duodenum or jejunum as appropriate; diagnostic).
2013 saw the use of CPT codes 43206 and 88375, which are both used for optical endomicroscopic imaging, although they are not interchangeable.
The CPT code 91111, which uses capsule endoscopy, was updated by our experts in 2013. The CPT code 91112, which uses wireless capsule endoscopy with pressure measurements, was changed in 2013.

The superior qualifications of PBC

Our medical billing services for gastroenterology are handled by experts that possess a unique combination of training and expertise. Here is a brief summary of the qualifications of our affiliates:

The American Association of Professional Coders (AAPC) has certified you.
knowledgeable about electronic health record software, such as NextGen Healthcare, Epic, Cerner, AthenaOne, NueMD, TherapyNotes, DrChrono, eClinicalWorks, Allscripts, Athenahealth, Practice Fusion, and so on.
Taught how to code with software.
Using common CPT, HCPCS procedure and supply codes, and ICD-CM diagnosis coding in accordance with CMS regulations
A successful history of processing medical bills for prestigious commercial insurance companies like Blue Cross Group, WellPoint, Aetna, Humana, HCSC, and United Health.
Capacity to effectively bargain with Medicare and Medicaid laws that vary by state

PBC coding and billing for a range of operations

With pre-qualifications that are among the highest in the field, most gastrointestinal doctors have placed their complete trust in our billing and coding expertise. An extensive list of various diagnostic and therapeutic procedures that have been coded, invoiced, submitted, followed up on, and claimed with various health insurance payors can be found here:

Biliary dysfunction, including cholecystitis and cholecystopathy without calculation
Acute megacolon, amebiasis, colonic angiodysplasia, bacterial gastroenteritis, and other conditions affecting the colon
Achalasia, CMV esophagitis, esophageal diverticula, and other esophageal malfunctions
Intestinal disorders such as balantidiasis, ascariasis, afferent loop syndrome, etc.
Liver dysfunction includes alcoholic fatty liver, acute liver failure, alcoholic hepatitis, etc.
pancreatic dysfunction, including pancreatic divisum, acute and chronic pancreatitis, and pancreatic damage.
Acute gastritis, achlorhydria, stomach dysfunction, abdominal compartment syndrome, etc.
Systemic conditions include chylothorax, crohn’s disease, ascites, peritonitis, and antibiotic therapy, among others.

Value provision to doctors

The gastroenterology practitioners who chose our billing and coding capabilities which include precise charge-capture, complex procedure coding, electronic claim filing, patient billing, a multi-tiered appeals process, initiatives to eliminate denials, and compliance standards have seen a notable improvement in collection rates, a simplification of the revenue cycle, an increase in patient inflow and referrals, and more opportunities for medical research and development.