Overcoming Gastroenterology Billing Challenges with Efficient Billing Services

Gastroenterology is a sprawling discipline dealing with multiple anatomies and diseases that afflict them. And this makes a gastroenterological treatment episode very dynamic, one where  an episode starting with a normal screening can lead to surgery, bringing in divergent care components within a treatment episode making claim preparation, which includes assigning proper code to each care component deciphering where one started and ended and whether the incursion of a new care service changes the character of the treatment from a billing perspective – very difficult. On a specific note, there are mainly three components of a gastroenterological treatment – screening, diagnosis and biopsy and an episode can include all of them.

Two years ago, a patient showed low-risk symptoms and had a screening colonoscopy but now displays symptoms that warrant diagnostic colonoscopy. Will Medicare reimburse the second procedure?

This is just one of the many instances directly related to treatment billers and coders face. Similarly, there are multiple issues related to areas around a treatment, like:

·         The code to use for a first time visit

·         The code for an emergency room, etc.

And if not paid attention to, the result is inaccurate coding, claim rejections and shrunk finance.

To increase the number of successful reimbursements, you have to make sure that you are thoroughly familiar with all aspects of gastroenterology mediacl billing, your knowledge of codes and related matters is frequently updated and you have records to support your claim.

This necessitates three things: sound documentation gathered and archived such that they can be easily retrieved when preparing claims, training for billers and coders which will help develop a sound knowledge of billing and coding modalities and appropriate software platform to ensure efficiency and regulatory compliance.

It’s little wonder that gastroenterology practitioners are increasingly turning to professional billers and coders to handle their billing and coding activities.

MBC’s Revenue Management Consultingservices can help you to put your revenue management cycle in order by assessing it and ensuring that revenue leakage gaps are closed through smooth flow of gastroenterology data, installation of proper software applications and staff training in how to handle gastroenterology codes.

Medicalbillerandcoders.com, the largest consortium of billers and coders in the US, has also been helping several gastroenterology care centers, in big and small cities of the US, with its Outsourcing services handling the entire range of activities involved in billing and coding starting from preparation of claims through submission to post-submission follow-ups. Our service modules are flexible that allow you to pick and choose only those bits and pieces of our services that meet your coding needs so  that you can avoid paying additional cost.