Gastroenterology Medical Billing Services Performed by Medcare MSO
Whether a gastroenterology practice is in a hospital or ambulatory surgery center, there are many parts that go into even simple procedures. All of those parts must be accounted for in the codes that are submitted for billing, and anything that is missing or inconsistent will cause a claim to be rejected.
There is a lot of detail involved, contributing to physicians spending more and more time on paperwork and having less time and energy for patient care. The good news is that almost all of the administrative work related to revenue cycle management (RCM) can be outsourced to professionals like Medcare MSO who do nothing but manage that aspect of the medical field.
Why Do Gastroenterology Medical Billing Services Need Specialists?
Medical billers and coders should always be trained, but it is especially important for a specializations such as gastroenterology, which uses a unique set of codes but also has several conditions making billing more complex, such as:
Complicated coding: Gastroenterology procedures are performed at varying facilities and with differing teams: Coding must reflect both who was involved and what kind of facility was used as well as what was done. Each physician and attending medical professional must be indicated, but not necessarily separately, as some procedures are bundled.
Moderate sedation complexities: Coding for sedation varies depending on how long the patient was affected as well as whether there was a separate physician present for anesthesiology, requiring coders and billers to be familiar with the procedures and knowledgeable about the various combinations that change the codes.
Follow-up exams require history details to get full reimbursement: After a patient has been diagnosed and treated, future screenings are coded as high risk, and coding must also indicate the history, again, requiring experience in the specialization for coders and billers.
Medcare MSO’s Certified and Experienced Medical Billing Professionals Get the Job Done Right
It is impossible for a busy medical staff to stay on top of all the coding changes in addition to being aware of all the details that must be reported in the form of numerical codes in order for the practice to be fully compensated for services delivered to patients. Medcare MSO has coders and billers who are certified and experienced in gastroenterology, which means your claims will be correct when they are submitted and when denials and rejections occur, they will be swiftly handled to assure no loss of revenue.
In addition to billing and coding, the entirety of (RCM) can be outsourced to Medcare MSO. You can customize the services you receive, so don’t pay for anything you don’t want, but we are experts at the RCM process from payer approvals to bill collection after treatment is completed. Our proprietary software makes billing simple and assures current codes are employed, and we are available to take care of One-time or annual processes, including credentialing, annual pay back and compliance reviews.
We can increase your revenue—and relieve you of the distraction and stress caused by billing so that you can focus on your patients. There’s no obligation, so get a free demo today!