An Introduction to Gastroenterology Coding
Are you familiar with the recent modifications introduced in lower endoscopy codes, or changes in reimbursement policy for the latest advancements in enteroscopy? If not, it is high time you upped your game by hiring a billing & coding partner. Effectively coding for new and emergent GI processes is imperative for getting your claim accepted by the Payers, and in optimizing reimbursement.
In Gastroenterology coding, various challenges arise frequently. Let us provide an example: there is a significant distinction between colonoscopy screening and diagnostic colonoscopy, despite their similar-sounding names. It can indeed be challenging when you have to report multiple endoscopy procedures.
The field of medical coding is full of nuances and intricacies, requiring a deep understanding of complex healthcare procedures and the skillful application of coding principles, and managing it all by oneself can be daunting. It requires a dedicated team that is not only well-versed in the intricacies of gastro coding but also regularly trained to stay on top of the latest developments. Even the smallest coding error can lead to claim rejection and rectifying such mistakes and resubmitting claims can turn out to be time-consuming.
With rising minimum wages, and skilled billers and coders becoming increasingly difficult to find, healthcare providers everywhere are looking for economical and sustainable ways to hire competent medical billers and coders quickly. So the question of the hour is…
What is the Solution?
The solution lies in strategic outsourcing of Gastroenterology coding tasks to a competent and knowledgeable partner, such as Sunknowledge.
We cater to clinics, doctors, physician groups, billing companies, as well as independent and organization-linked gastroenterologists throughout the United States, providing dependable and highly affordable support that adheres to HIPAA compliance standards.
Our coding professionals carry Certified Professional Coder (CPC)® Certification, and undergo regular training to stay updated on all the latest codes. Having a team of AAPC-certified coders working for your practice can do wonders in minimizing errors and maximizing collections. Sunknowledge’s clinical coders are fully trained in precise coding for provider diagnoses and services, leading to quicker payments for you. Our certified coders have complete proficiency in all the following code sets:
- CPT
- ICD-10CM
- HCPCS Level III
How Our GI Coding Services Help You
Our coding services are designed to help you complete more charts per day, with better accuracy and precision. We are as serious about your revenue as you are. This is why we aim at ensuring optimum coding productivity with a view to maximizing your collections. At Sunknowledge Services Inc., we have been providing highly evolved and streamlined GI billing and coding services to gastroenterology practices across 50 states, for close to two decades.
Here’s how we can help you streamline your GI coding practice:
- We ensure accurate code assignment for all the procedures performed by gastroenterologists. Colonoscopies, esophageal dilations, and ERCP are just some of the critical processes our coders adeptly handle, along with dozens more.
- Our coders navigate complexities, like distinguishing between colorectal cancer screenings and colonoscopies in coding, ensuring accurate documentation of E/M service levels, employing category III codes for GERD (Gastroesophageal Reflux Disease) treatment, and judiciously applying modifiers such as -51, -59, and -26 for optimal coding precision.
- Our clinical coders assign accurate codes for critical and complex problems like Barrett’s esophagus, Crohn’s disease, and other gastrointestinal disorders.
- We are adept at assigning payer-specific codes.
- We also ensure proper DRG and ICD-10 code validation.
Some of the common procedures that we regularly deal with include
- Esophagogastroduodenoscopy (EGD)
- Endoscopy and Capsule Endoscopy
- Endoscopic Retrograde Cholangiopancreatography (ERCP)
- Colonoscopy
- Endoscopic Ultrasound (EUS)
- Replacing/Changing PEG Tube
- Fibroscan
- FLEX sigmoidoscopy, and more
“I just want to take a moment to recognize the Sunknowledge team for their high level of detail in notes when tagging invoices they are working. They provide a high level of detail and steps taken to resolve invoice and every line item billed, far beyond my other collectors on a weekly basis and I feel they deserve to be recognized.”
Key Advantages of Outsourcing Gastroenterology Coding Services to Sunknowledge
- Robustly Trained and Certified Workforce: Access an extensive pool of over 3,500 proficient medical coding and billing professionals, encompassing experts in Prior Authorization, skilled billers and coders, adept accounts receivable and denial management personnel, virtual assistants, and more.
- Advanced and Efficient Operational Strategies: Embracing top-tier industry standards in healthcare billing and remuneration, our streamlined processes significantly enhance productivity, reducing errors and enabling healthcare providers to accomplish more in less time—ensuring optimal collections.
- Impeccable Data Security: As an ISO 9001:2015 and ISO 27001:2015 certified entity, we uphold unwavering HIPAA compliance, safeguarding complete security and confidentiality of all Protected Health Information (PHI).
- Rapid Turnaround Time: Time is currency in healthcare. Our systematic approach ensures swift documentation, rapid automation and expedited approval rates.
- Substantial Operational Cost Savings: Our pre-authorization services, available at a flat, economical hourly rate, aim to generate savings of up to 80% on operational expenses, ultimately bolstering profitability. Our potent and highly efficient Virtual Assistance services consistently outpace in-office staff in completing gastroenterology coding services at significantly lower costs.
- Enhancing Patient-Centric Care: Patient care reigns
supreme in healthcare practices. Our GI coding services seamlessly integrate with your business operations, allowing undivided focus on patient well-being without the burden of billing concerns.
“Awesome job team!! Thank you all for your hard work and determination!!!”
Getting Started
Entrusting your Gastroenterology (GI) coding to Sunknowledge Services Inc, an American-owned and operated company headquartered in New York City, enables you to save up to 80% on your operational costs.
For further information on our medical coding services or to discuss your specific requirements, feel free to connect with us today. Use the form below to reach out now.