Billing for gastroenterology procedures can be challenging due to complex coding requirements, billing multiple payers, limited insurance coverage, and other challenges like documentation requirements, changing regulations, and prior-authorization requirements. It is important for healthcare providers to have a thorough understanding of these factors to ensure proper billing and avoid denials and appeals. Following are some […]
Billing Gastroenterology Procedures is not that Easy!!
Telehealth Billing Guidelines for Gastroenterologists
During COVID-19 public health emergency (COVID-19 PHE), CMS expanded the scope of telehealth/ telemedicine services. In this blog, we shared telehealth billing guidelines that are applicable only for Gastroenterologists. CMS increased payment for telephone evaluation and management codes 99441-99443 to the level of office/outpatient E/M codes 99212-99214. These telehealth rules were expanded to all Medicare […]
Gastroenterology CPT and HCPCS Code Upgrades 2019
On September 5, 2018, the American Medical Association (AMA) released the 2019 CPT Code Set in an official press release. The main theme surrounding new codes, revised codes, and deleted codes is to increase specificity. This is a good time to understand what has changed and how it may affect your medical practice moving forward. […]
Highest Paying Specialties for Physicians in US
One of the highest paying professions in the United States is that of healthcare professionals. However, for medical billing purposes, it is often important to understand the burgeoning fields/medical disciplines which are on the rise and garner the maximum revenue. Highest paying specialties: It has been observed that a specialists’ compensation is higher than that […]
Gastroenterology Billing Tips For Claim Settlement Delays
A sound billing and coding process is very crucial for timely settlement of claims and ensuring steady revenue generation for your gastroenterology practice. All medical billing and coding practices must be kept in order to ensure that all claims are settled in an appropriate manner. It is important that your medical and support staff are […]
Keeping your Gastroenterology Practice Updated with Changing Billing & Coding Practice
The importance of keeping abreast with the rapidly changing medical coding and billing practices cannot be emphasized enough as Gastroenterology is a rapidly growing area of patient care. Everyday new and detailed surgical procedures and relevant codes are added to the ever growing list of gastroenterology practice. It is paramount to avoid the dreaded audit […]
Is Your Practice Ready for Gastroenterology Coding Revision in 2014?
Gastroenterology practices must take the new coding changes into account in order to avoid leaving significant money on the table. Approximately 25% of the AMA (American Medical Association’s) changes to CPT codes in 2014 will be affecting gastroenterology coding significantly. These changes have been brought in order to revise gastroenterology codes for capturing advances in […]
Filing Electronic Claims Efficiently for Your Gastroenterology Practice
Organized healthcare for masses is based on the sturdy system of medical insurance and patient coverage. Over the past decade, healthcare reforms have resulted in efficient processes and better medical methodologies. Therefore, billing and claim filing have also become increasingly automated and effective. While primary healthcare practitioners have internalized electronic claim filing to a great […]
Eliminating audit Risk in Your Gastroenterology Billing Practices
Medical audit is without doubt the most difficult time that any medical practice may have to survive. It involves scrutiny of medical records, critical analysis of billing and collection processes and worst of all, unearthing old claim settlements and payment records which inevitably prove you in debt of Medicare or Medicaid! In fact, surviving audit […]
How to Reduce Denials and Increase Medical Billing for your Gastroenterology Practice?
Gastroenterology is a focused field of medical service that has evolved dramatically over the past few decades. This in effect is a clear symptom of the changing lifestyle of an average American. Rise in gastric disorders have forced the populace to seek specialized medical attention and this has increased the focus of healthcare sector on […]