Revenue cycle management for gastroenterology
Where gastroenterology claims leak
A colonoscopy can start as screening and end as diagnostic. How it is coded, which modifier it carries and which anesthesia code goes with it decide what the patient owes and whether the claim is paid.
Sound familiar?
Where gastroenterology practices lose money
Turn a note over to see what changes.
The five stages
In a gastroenterology practice
At bookingCoverage agentCoverage confirmed before the visit
Before the visitApprovals agentApprovals in place before the visit
At the visitNotes agentNotes that back every claim
At billingClaims agentClaims go out clean
After the payer answersPayments agentDenials worked until they’re resolved
Questions
Gastroenterology questions
Bring one recent denial. We'll show you the rule behind it.
Your specialty, your payers, your claim. No slides.
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