Gastroenterology Billing Services & Practice Management

Now more than ever, it has become crucial to have a professional medical billing company specializing in gastroenterology medical billing and coding that can navigate through the complexities of the gastroenterology coding requirements.

As with all medical practices, the financial stability of your Gastroenterology Practice is directly related to timely and accurate billing in order to receive the maximum allowable reimbursement for services performed. However, with over 50 changes to CPT coding in 2015 for gastroenterology, including changes to lower GI endoscopy codes, new G codes and modifiers for CMS (Medicare and Medicaid) and revisions to the definition of colonoscopy, accurate medical billing and coding for gastroenterology has become a challenge for Gastroenterologists’ practices.

Global Health Management Services’ Gastroenterology Billing and Coding specialists provide the knowledge and expertise your practice needs in order to ensure maximum reimbursement. With a combined experience of over five decades of serving the healthcare industry, the Global Health Management Services team has a proven track record of increasing the revenue of our partner providers. GHMS helps Gastroenterologists, Gastroenterology group practices and hospital owned Gastroenterology groups with their Gastroenterology medical billing, medical coding, Gastroenterology practice management, claims appeals, A/R management, Healthcare Practice Analytics, medical provider credentialing and managed care contract negotiations.

Gastroenterology Practice Management

Global Health offers a wide variety of Gastroenterology Medical Billing and Practice Management services. To better customize the menu of benefits for your practice, our Gastroenterology Practice Management Consultants conduct a complimentary medical practice comparison to demonstrate how your business compares with similar providers, practices and medical facilities. The analysis results provide the specifics for coordinating the most efficient and comprehensive strategy for increasing your revenue.

Clients are welcome to choose one or any combination of our Gastroenterology Practice Management services.  Our informed recommendation, and the preference of the majority of our Gastroenterology clients, supports the bundling of our Gastroenterology practice management services to streamline the revenue cycle while reducing expenses.

Gastroenterology Practice Management services:

  • AR Management
  • Claims Appeal Services
  • Gastroenterology Practice Analytics
  • Medical Billing
  • Gastroenterology Coding by Certified Medical Coders
  • Medical Collections Services
  • Gastroenterology Provider Credentialing
  • Payer Contracting Services
  • Payer Contract Negotiations

Request a Complimentary Gastroenterology Revenue Analysis

Global Health Management Services provides a complimentary benchmark analysis that demonstrates the performance of your Gastroenterology revenue in accordance with national and regional measures. Our courtesy evaluation provides a comprehensive assessment of each element of your Gastroenterology revenue cycle which includes the accuracy of your coding, billing and reimbursement practices.

A Global Health Executive Partner oversees the implementation of each client’s distinctive increase revenue plan, helping to maximize potential reimbursement.  Our extensive healthcare experience in analytical problem solving strategies in defined areas of your Gastroenterology practice includes managed care payer contracts, specialized Gastroenterology billing, coding, claims appeals and AR management. Request a Gastroenterology Benchmark Practice Revenue Analysis.

Gastroenterology Contract Negotiation

Payer contract negotiations, evaluation and renegotiations is very critical to every Gastroenterology practice, yet many practices only set up their managed contracts one time and allow them to automatically renew without any negotiations. Most Gastroenterology practitioners lose additional revenue of 10-30 percent because they do not have the time or the required expertise to renegotiate contracts with insurance payers.

Global Health Management Services are experts in managed care contract negotiations. We perform a contract analysis of your Gastroenterology managed care negotiation process, evaluating each contract and devising a contract negotiation and renewal strategy for your Gastroenterology practice by using leverage points to maximize normal contract terms, resulting in significant revenue increases for our Gastroenterology clients.

Gastroenterology Billing and Coding

GHMS, a national Gastroenterology billing and coding company, provides professional certified medical coders and billers who specialize in Gastroenterology’s distinct set of codes and modifiers. Working together, our certified medical coders and Gastroenterology specialized billers will identify past billing problems and denied claims, evaluate underpayments, submit claims appeals with correct documentation and bill appropriately with the correct ICD, CPT and Modifier codes to insure maximum reimbursement.

Gastroenterology Billing Services

GHMS’s Gastroenterology Medical Billing specialists can manage all aspects of your Gastroenterology practice’s billing and revenue cycle and will work in conjunction with your Gastroenterology practice to ensure you receive the appropriate reimbursement for services performed. We focus on maximizing every bill to each payer by also ensuring compliancy and sending each bill out in a prompt and timely manner resulting in the fastest revenue response from the payer directly to your Gastroenterology practice.

Our Gastroenterology Billing Specialists will

  • analyze, recognize and advise you of the advantages of reimbursement fee trending
  • keep current with insurance specifications and regulations and ensure the fees are kept at the maximum allowable reimbursement
  • focus on accurate procedure and diagnosis codes so claims are not suspended or rejected
  • carefully analyze insurance payments and Explanation of Benefits to ensure accurate payment and take appropriate action if necessary
  • process Secondary Insurance claims immediately upon receipt of the primary carrier Explanation Of Benefits

Our team of Gastroenterology billing specialists will work closely with your practice and provide the necessary and continuing education on the best documentation and billing practices for procedures performed, including keeping your Gastroenterology practice up to date with the latest CMS Medicare, Medicaid billing and documentation requirements, certifications and regulations.

At Global Health Management Services we make sure that you receive the maximum amount covered by the insurance companies while minimizing out of pocket expenses for your patients.

Gastroenterology Certified Coding
Global Health Management Services understands the challenges faced by Gastroenterologists accustomed to CPT, ICD-9 and ICD-10 coding. Our certified Gastroenterology coders remotely and seamlessly integrate with your staff, quickly familiarizing themselves with your practice. Identifying trends, past billing problems and denied claims, we custom design a menu of actions for your business that will result in accelerated revenue cycles and improved compliance. Our accredited coding specialists;

  • Evaluate and Manage Gastroenterology Billing and Coding Functionalities
  • Provide Professional Coding Services for Gastroenterology practices
  • Capture and Improve Gastroenterology Revenue
  • Provide and Establish an Increased Efficiency
  • Reduce Compliance Risk

In order to maximize your revenue, it’s important to have Gastroenterology billers and coders who specialize in Gastroenterology practices and who understand the requirements needed to successfully bill Medicare, Medicaid and insurance companies for payment in order to receive the maximum allowable reimbursements. At GHMS, we are Gastroenterology Billing and Coding experts with proven results for our Gastroenterology clients.

Gastroenterology AR Management

Global Health Managements Services’ innovative Gastroenterology A/R Management coupled with our collection services have been providing Gastroenterology practices improved collections over the past two decades. We are able to improve collections within a short period of time.

Our success comes from accurate, timely and professional Gastroenterology billing followed by serious A/R follow up and collection activity by dedicated  professionals who use technology to process and accomplish the task of collecting more, faster.

  • Each claim is meticulously tracked and followed up by our trained and experienced medical billing staff until the payment is received.
  • We have dedicated Gastroenterology A/R managers to follow up with payers and patients.
  • Internal processes are clearly laid out to expedite collections and ensure follow through for each claim.

Global Health Management Services performs complete revenue cycle outsourcing for Gastroenterology practices. Our practice management consultants are highly trained and specialized to maximize Gastroenterology revenues.

For more information on how Global Health Management Services can increase your Gastroenterology Practice revenue, contact our Gastroenterology Billing and Practice Management consultants.

“Until 2009, my practice had in-house billing by a non-certified coder. Plans were underway to have a new medical office and ambulatory surgery center constructed. I hired a consultant for the practice and I soon realized that the office was not only coding improperly, but under-billing as well. The consultant recommended Global Health Management Services. I contacted them and they made a 2 1/2 hour drive down to meet with me. I was extremely impressed with their knowledge, professionalism, and willingness to help improve the revenue for my practice. They were hired and within several months, I saw a complete turnaround in our total revenue. Global Health also helped with the tedious task of negotiating contracts with health insurers for my new ASC. They are all experts in their field and their goal is to make sure you succeed in receiving the maximum reimbursements. Global Health is family owned and run, and they treat you as part of their family. I have nothing but high regards for them and highly recommend Global Health for any medical practice.”

Paul Thomas, DO
Gastroenterologist Internal Medicine