Are you tired of the hiccups in your cash flow? Choose Nexus io’s expert gastroenterology billing services. Our affordable and custom-made medical billing solutions seal revenue leaks, accelerate reimbursements, and protect your bottom line. Contact us today for financial peace of mind!
Expert gastroenterology billing services handle the entire claims process, from verifying patient records and accurately coding procedures to submitting claims and managing denial or rejection appeals.
By precisely mapping each GI procedure, medication, surgery, and follow-up care to the correct CPT, ICD-10, and HCPCS codes, these services accelerate reimbursements and help maintain steady revenue flow.
Partnering with a professional medical billing company like Nexus io ensures accurate billing and coding, strict compliance with healthcare regulations, and seamless communication with payers.
This comprehensive approach streamlines your revenue cycle, reduces administrative burdens, minimizes errors, and ultimately optimizes your practice’s financial health allowing you to focus more on providing quality patient care.
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Gastroenterology billing and coding are both complex and time-consuming. Even minor errors such as inaccurate coding, missing procedural modifiers, outdated payer guidelines, or overlooked old accounts receivable can stall revenue flow. When these small issues accumulate, they can lead to serious compliance breaches, audits, and costly penalties.
To protect cash flow, maintain operational performance, and uphold high standards of patient care, gastroenterologists and revenue cycle staff must manage these challenges carefully. Some other key challenges include:
Advanced pre-authorization requirements for specialized gastroenterology services.
Ensuring compliance with multiple insurance companies for a clean claim process.
Continuous monitoring and updating of regulatory changes, coding guidelines, and payer policies.
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Reduction in A/R
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According to MGMA, gastroenterology claims are denied at an average rate of 6.7%, noticeably higher than the 4.9% median across all specialties.
Don’t worry, Nexus io cuts that risk of high denied claims by having certified GI coders verify documentation, assign exact CPT codes and modifiers, and pass every claim through multilayer scrubbing before submission.
Denials often start with missing referral letters or skipped eligibility checks. That gap opens the door for bigger problems, like bypassing Medicare’s LCD and LCA rules for an endoscopy.
Rushing to catch up, the team may overlook coding mistakes, incorrect CPT, ICD-10, or HCPCS codes, or missing modifiers.
Late pre-authorizations then delay care, and weak record-keeping finally leaves practices exposed during audits.
At Nexus io, our gastroenterology billing team confirms referral letters during scheduling to prove medical necessity.
We verify insurance coverage for every diagnostic screening and check CMS rules on capsule endoscopies to ensure Medicare or Medicaid will pay. Because GI wait times run long, we fast-track pre-authorizations and secure approvals within 72 hours.
We maintain thorough documentation so your practice can pass unexpected payer audits and pinpoint opportunities for improvement.
From CPT 45378-59 diagnostic colonoscopies to HCPCS G0105 screening exams, Nexus io’s AAPC-certified medical coders tag every GI billing procedure and supply with pinpoint CPT, ICD-10, and HCPCS specificity.
With our precise medical coding process, we ensure every unit of care, procedure, and supply is captured at the highest level of specificity to secure timely reimbursement.
We provide 24/7 support for all gastroenterology billing and revenue cycle services. Whether your practice performs colonoscopies, endoscopies, ERCP, or GI motility testing, our team ensures accurate CPT and ICD-10 coding with timely and compliant claim submissions.
We help reduce denials, manage pre-authorizations, and address complex billing scenarios involving conscious sedation and biopsy bundling. Each service follows payer-specific rules and compliance standards for GI procedures.
Our billing specialists simplify the process so your gastroenterology practice can focus on delivering high-quality digestive care.
Endless forms, code sheets, and follow-up letters create crippling paperwork overload, driving the gastroenterologists’ burnout rate past 60%.
This growing workload takes valuable time and energy away from the care gastroenterologists want to give their patients.
With our experienced billing team, we take care of all your paper documentation, helping your practice run more smoothly through administrative tasks with a cost-effective approach to increase revenue and ultimately enhance patient satisfaction.
Gastroenterology procedures often involve coverage from various payers, including government, private, and third-party insurance companies. Each payer has its own set of rules and regulations for billing documentation and codes, making the billing process more complex. How we will do it:
Partnering with us today can help you streamline your gastroenterology revenue cycle management, while staying compliant with all the payers around the US.
Struggling with complex GI coding, modifier usage, or frequent denials? Our gastroenterology billing specialists streamline the revenue cycle by applying accurate CPT coding for procedures like colonoscopies, endoscopies, and biopsies ensuring clean claims and full compliance with payer guidelines.
Click “Get Demo” to see how we improve your billing performance and once you’re ready, fill out the form and our experts will connect with you within 12 hours.
Do you offer billing for GI procedures and treatments?
Yes. Nexus io provides comprehensive gastroenterology medical billing services, covering every diagnostic, therapeutic, and preventive GI procedure.
Can you handle coding for complex endoscopies?
Absolutely. Our AAPC-certified coders assign precise CPT, ICD-10, and HCPCS codes to every ERCP, EUS, and capsule endoscopy, producing clean, fully compliant claims.
Is in-house GI billing cost-effective for clinics?
No. In-house GI billing often leads to higher costs and inefficiencies. Outsourcing gastroenterology billing to Nexus io gives you an all-in-one solution that removes staffing, software, and training costs while boosting first-pass acceptance and reducing denials.
How does Nexus io support GI practices?
Nexus io gastroenterology billing services verifies benefits, secures prior authorizations, and codes each encounter at the highest level of specificity. We then track every claim through payment, delivering end-to-end support that keeps your cash flow strong and uninterrupted.
What are common billing errors in gastroenterology?
Frequent mistakes include missing modifiers, incorrect LCD/LCA linkage, and incomplete biopsy documentation. Our multilayer scrubbing tools catch these before submission.
Ready to boost your bottom line? Connect with Nexus io’s gastroenterology billing specialists today and let us optimize your revenue cycle.
Reach out to us by simply filling out this quick form, and one of our billing experts will contact you in 12 hours.
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