How to Ensure Transparency in Gastroenterology Billing

It is true that with both federal as well as commercial insurance, there are local coverage determinations for the procedures which also includes the restrictions and the process indicated to be followed for the diagnosis codes. One of the biggest challenges at present is ensuring the proper demonstration of a procedure that indicated the medical necessity for endoscopic procedure.

Insurance can deny the authorization for a lab test and a diagnosis study. Also, it can recoup or claim for the previously paid claims. Hence, it is imperative that as a Gastroenterology provider, you have the right provisions in place with your claims submission process and managing it effectively at the front desk.

Driving ROI ultimately comes down to finding a team of experienced billers and coders who understand the guidelines of gastroenterology billing. However, it can be a challenging task to hire someone that has the ability to work as a reliable arm of your existing operational practices.

Sunknowledge : Your ultimate RCM partner for better cash

Over the last decade, we have pioneered growth and revenue stream for billion dollar healthcare providers across the country. As a complete medical billing and collections company, Sunknowledge knows how to deliver a full service approach.

We offer our support across more than 28 specialties and are currently working with leading DMEPOS companies, hospitals, nursing homes, cardiology , primary and urgent care, radiology and even gastroenterology billing among many. We have a proven track record to reduce operational costs by almost 75% and deliver specific support in pre and post billing with unmatched consistency and speed.

Our extensive support in checking of your patients eligibility, initiating, following up and getting the authorization done on time sets the tone for cleaner submission of your claims. Also, we deliver it all with denial management, A/R collections and payment posting services. If you are looking for a perfect partner that can help you in focussing on your patients, Sunknowledge will be the right choice for you. Hire us if you want to see a difference in your revenue cycle.