Specialties

Gastroenterology

Revenue Cycle Management for GI Practices & Endoscopy Centers

Gastroenterology billing is defined by complex bundling rules, screening vs. diagnostic distinctions, and high procedure volumes. Rev Health maximizes reimbursement for every colonoscopy, endoscopy, and infusion service your practice provides.

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Our Expertise in Gastroenterology

Endoscopy & Colonoscopy Billing

Expert handling of colonoscopy screening-to-diagnostic conversions, correct add-on code application for biopsies and polypectomies, and bundling rule compliance across all major payers.

Bundled Procedure Optimization

Thorough review of NCCI edits and payer-specific bundling policies to ensure all separately reportable services are captured while maintaining full compliance.

Infusion & Biologic Therapy Billing

Complete billing for infusion suites administering biologics and IV therapies, including HCPCS drug codes, administration time-based coding, and prior authorization management.

What We Do

RCM Services

Comprehensive revenue cycle management solutions tailored to Gastroenterology.

[01]

Eligibility Verification

Real-time insurance verification and benefits validation with prior authorization management and patient eligibility reporting.

→Real-time insurance verification
→Benefits and coverage validation
→Prior authorization management
→Patient eligibility reporting

[02]

CPT & ICD-10 Coding

Expert diagnostic note interpretation and comprehensive coding accuracy aligned with CPT and ICD-10 compliance standards.

→CPT and ICD-10 compliance standards
→Validation of superbill codes
→Expert diagnostic note interpretation
→Comprehensive coding accuracy

[03]

Charge Entry

24-hour electronic submission with fee schedule verification, patient demographic validation, and same-day rejection resolution.

→Fee schedule verification
→Patient demographic validation
→24-hour electronic submission
→Same-day rejection resolution

[04]

Claims Submission

Streamlined electronic submission with rigorous quality checks and first-pass acceptance optimization to minimize rejections.

→Streamlined electronic submission
→Rigorous quality checks
→First-pass acceptance optimization
→Rejection minimization protocols

[05]

Payment Posting

Daily posting and reconciliation with EFT/ERA enrollment facilitation and detailed tracking and payment trend analysis.

→EFT/ERA enrollment facilitation
→Daily posting and reconciliation
→Detailed tracking and documentation
→Payment trend analysis

[06]

Denial Management

Specialized appeals team with root cause analysis, secondary/tertiary claims expertise, and revenue recovery optimization.

→Specialized Appeals Team
→Secondary/tertiary claims expertise
→Root cause analysis
→Revenue recovery optimization

Expertise on 30+ EMRs
and Billing Platforms

Our team has extensive experience working with leading EMR and billing platforms, ensuring seamless integration and optimized revenue cycle management.