Billing companies that work gastroenterology claims every day and take on practices in San Antonio, TX. Describe your practice once and compare their proposals.
A few questions about the practice, then billing companies that fit send proposals. You are not committing to anything.
Hand off all of it or just the parts that are breaking. Say which in the form so the proposals match.
Charges entered, claims checked against payer edits, and sent daily so clean claims go out the first time.
Every denial worked, appealed, or corrected, with the root cause tracked so the same denial stops repeating.
Old balances called on and worked by payer and by age until they are paid, adjusted, or written off on purpose.
Certified coders assign CPT, ICD-10, and modifiers from your notes, or audit the codes your providers pick.
New providers enrolled with payers, CAQH kept current, and revalidations handled before they lapse.
Statements, online payment, payment plans, and the phone calls that come with them, handled in your name.
Eligibility checks, prior authorizations, and old AR cleanup go through the same request. If you only need one piece, say so.
There is no right answer for every practice. The usual tradeoffs:
A colonoscopy is screening until it finds something, and that is the whole GI billing problem. A screening colonoscopy with a polyp removed can turn into a diagnostic procedure for the patient's cost sharing, and the practice needs the right modifier and the right diagnosis order to keep payers and patients from fighting about it afterward. Patients in San Antonio call the office angry when a preventive visit generates a bill.
Most GI practices here are independent or tied to an ambulatory surgery center, which means two claims for each procedure: the physician's and the facility's. Anesthesia is often billed separately by another group. Pathology comes from a lab that bills on its own. A patient can get four bills from one afternoon, and the practice gets the phone calls. Medicare Advantage plans in the metro handle prior authorization for some GI services differently from original Medicare, and denials on repeat screenings happen because someone checked the wrong interval. Infusion therapy for inflammatory bowel disease adds its own drug billing and buy-and-bill risk on top.
Looking for gastroenterology billing in other cities? See the gastroenterology billing site.
Three steps. Most practices hear from the first billing company within a business day.
Specialty, providers, claim volume, your software, and what you want handled.
Your request goes to billing companies that work your specialty and take on practices your size in San Antonio, TX.
Compare fees, scope, reporting, and contract terms side by side. Pick one, or none.
What practice managers usually ask before they fill out the form.
Describe the practice once and compare proposals from billing companies that fit. No obligation.
Request proposals