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Gastroenterology medical billing services
GI practices bill endoscopy in the office, hospital and ASC, often with screening vs. diagnostic questions that change patient cost. We code each procedure and modifier correctly.
Why gastroenterology billing is different
These are the issues that most often cause denials and lost revenue in gastroenterology. Our team handles each one.
- Screening colonoscopy that becomes diagnostic (modifier PT / 33)
- Multiple endoscopy rules and family-of-codes reductions
- Anesthesia and pathology coordination
- ASC vs. hospital outpatient place of service
Services and procedures we handle
Everything your gastroenterology practice needs
Medical Billing & Coding
Certified coders and billers who turn every encounter into a clean, compliant claim.
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Credentialing & Enrollment
Get providers enrolled with payers faster, and keep them active.
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Denial Management
Work every denial, win the appeal, and fix the root cause.
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A/R Recovery & Follow-Up
Turn aging receivables into cash, starting with the highest-value claims.
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Eligibility & Benefits Verification
Know coverage, copays and deductibles before the patient walks in.
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Prior Authorization
Authorizations requested, tracked and approved before care is delayed.
Explore serviceSwitching is simpler than you think
Free revenue audit
We review your A/R aging, denial history, payer mix and coding patterns, then show you what is recoverable.
Onboarding
BAA signed, secure system access set up, workflows mapped and your dedicated team assigned.
Daily operations
Claims, payments, denials, A/R and patient billing are worked every business day.
Monthly review
A KPI report and a call with your account manager covering results and next steps.
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Frequently asked questions
Straight answers about how ClaimEdgeSolutions works with your practice.
Ask us anything01How do you handle screening colonoscopies with polyp removal?
We apply the correct screening modifiers so eligible patients keep their preventive cost-sharing protection.
02Do you bill for an ASC as well as the professional side?
Yes. We bill both professional and facility claims.
03Do your coders have gastroenterology experience?
Yes. Your account is assigned coders and billers with gastroenterology experience who know its codes, modifiers and payer rules.
04How quickly can we switch to ClaimEdgeSolutions?
Most practices are fully live in 2–4 weeks. We work alongside your current team or vendor during the transition so cash flow is not interrupted.
Get a free gastroenterology billing audit
We review your denials, coding patterns and A/R and show you exactly where revenue is being lost.