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Yes, if original documentation supports the coding and the appeal window with that specific payer hasn't closed.
A claim sitting past 90 days in your gastroenterology practice isn't automatically uncollectable. It's a claim nobody has gone back to since it was originally filed — and the longer that continues, the closer it gets to becoming a permanent write-off instead of a recoverable one.
This is exactly what real old A/R recovery is built to prevent.
Why GI Claims End Up Aging Past 90 Days
Denials that were never worked. Most aged claims started as a denial — a modifier error on a screening-to-diagnostic colonoscopy conversion, a missed prior authorization on an ERCP, a medical necessity gap on a capsule endoscopy study. Without denial management actively triaging these the week they're received, they sit until the appeal window closes on its own.
Generic Gastro billing services with no aging workflow. Many vendors focus entirely on new claims going out the door and treat aged A/R as a quarterly cleanup task instead of a daily one. By the time anyone looks at the 90-day bucket, the documentation trail and the appeal deadline have often already lapsed.
Resubmission without root-cause correction. A claim that gets refiled without fixing the specific reason it was denied — wrong Gastro CPT coding, missing indication documentation, incorrect bundling — simply denies again and ages further instead of resolving.
The Actual Recovery Workflow
Recovering a 90+ day claim isn't a single action — it's a sequence:
- Pull the original documentation and match it against the specific denial or non-response reason.
- Identify whether the issue is correctable — a modifier fix, added documentation, a corrected code — versus a claim that needs formal appeal.
- Refile or appeal within the payer's specific window, which varies by payer and by claim type, not a single universal deadline.
- Track the claim until resolution, rather than treating resubmission as the end of the process.
This is the difference between coding services that generate claims and a partner that actually owns the outcome of every claim filed.
Why This Requires Specialty-Specific Revenue Cycle Management
Group-level A/R totals hide exactly where the aging is concentrated. Real RCM services breaks the 90-day bucket down by procedure category — screening colonoscopy, ERCP, capsule studies, therapeutic endoscopy — so a practice can see which service line is generating the most unworked claims instead of treating the whole backlog as one undifferentiated problem.
What GI-Specific GI Billing Services Add
True GI Billing Services treat aged claims as an active recovery line, not a write-off category, built around:
- A defined 30-60-90 day review cadence, not a quarterly sweep
- Root-cause correction before any resubmission
- Active appeals tracked against payer-specific deadlines
- Procedure-level reporting on where aging actually concentrates
Medical Billing Serivces has managed revenue cycle operations for physician groups for 26 years, processing over $2.7B in claims at a 98.4% clean claim rate — including gastroenterology claims where aged A/R recovery is a standing, dedicated function, not an afterthought.
Pricing for A/R recovery varies by claim volume and aging distribution — request a revenue diagnostic to see exactly how much is recoverable in your current 90+ day bucket and what a provider-level engagement would look like.
