Pointers for a healthy Gastroenterology billing practice

Posted by William Jones on June 19th, 2023

Gastroenterology billing is a complex state of affairs. Especially, with the launch of over 72,000 ICD-10 CM codes related to gastroenterology like - 91200 Liver electrography, Diarrhea, nonspecific R19.7, 91010 Esophagus motility study, 91110 GI tract imaging, capsule endoscopy, 91065 Breath hydrogen/methane test and many more - remembering all the codes while managing it can be quite confusing for many. In fact, professional development and regular updates are extremely crucial here in order to make it an effortless billing operation while dealing with the gastroenterology ICD- 10 CM codes.

In fact, according to a recent survey in the United States alone, an estimated of 66.4 million primary diagnoses of digestive diseases occurrence every year across various healthcare settings has been seen and reported which is imposing significant challenges for many billers. Thus for effectively billing for medical gastroenterology and ensuring timely reimbursements from different payers, managing its coding can be required specialized people working on it.

In fact, today with the increasing prevalence of digestive issues in society, and rising challenges it is best to have an operational extension supporting your billing essentials.

Here are a few pointers that one should not miss on Gastroenterology billing

· Understand the intricacy of Gastroenterology Medical Billing and Coding affair - Gastroenterology medical billing involves a vast number of ICD-10 CM codes. Proper knowledge and understanding of these codes and the billing process are quite crucial for accurate coding and billing. Gastroenterology practices should invest in ongoing professional development and training for their billing department to ensure efficient utilization of the appropriate codes.

· Understand the Procedural and Technical Questions - Handling gastroenterology billing involves addressing procedural and technical questions that may arise during the billing process. This requires years of experience and familiarity with the field. Thus, it is essential to have a billing team that has spent considerable time working under a gastroenterologist to accumulate the necessary knowledge and expertise to handle these inquiries effectively so you get your reimbursement faster.

· Work on Claim Appeals - claims rejection and denial are common in Gastroenterology billing. However, it can easily be reduced and avoided. As rejected claims can significantly impact the revenue cycle of a gastroenterology practice so one must be careful in comprehending it. While ensuring timely claims submission is important to avoid denial of claims, it is crucial to appeal rejected claims in a timely manner as well to avoid revenue loss. This requires a proactive approach and a comprehensive understanding of the appeal process. A skilled billing team can not only navigate the appeals process efficiently but further help in ensuring maximum reimbursement for the gastroenterologist.

· Tracking and Addressing Underpayments - Efficient tracking of underpayments is crucial for gastroenterology billing. This is because many billing software solutions fall short when it comes to accurately track gastroenterology underpayments thus leaving out a lot of cash on the table. Implementing a system that can effectively track unpaid bills can increase a gastroenterologist's revenue by 20%. Therefore, it is vital to invest in robust billing software or consider outsourcing to a specialized gastroenterology medical billing team that can handle this task effectively.

· Have complete Knowledge and Expertise resources managing Gastroenterology Billing - Medical billing for gastroenterology requires a deep understanding of various uses of codes, the specific criteria and systems used by insurance companies to evaluate claims. It is essential to have an experienced billing team that is well-versed in gastroenterology billing and coding practices as it reduces your chances of errors. Relying on an experienced or having support from an operational extension like Sunknowledge can further result in revenue generation and more precise billing operations.

As each gastroenterology practice may have unique billing challenges and requirements. It's important to assess your specific needs and tailor your billing processes only by expert in order to experience a seamless billing approach, which Sunknowledge excels in.

By staying informed, Sunknowledge team not only helps you with accurate coding and in maintaining detailed documentation but properly optimizes your gastroenterology billing practices also improves the overall reimbursement in no time. 

So what are you waiting for? Get in touch and improves your Gastroenterology billing for good.