Gastroenterology Medical billing is a delicate billing process that requires an accurate inclusion of data to get the right reimbursement for the services rendered. This specialty billing exposes the practice to potential losses if the diagnostics and procedures are not correctly coded.
Colonoscopies, for example, are at particular times tagged inappropriately as sigmoidoscopy procedures, because the documentation that is written to support the procedure only defines sigmoidoscopy technique. To properly define colonoscopy procedures, it is required for the coder to note the process as “advancement beyond the splenic flexure.”
Gastroenterology practices are commonly exposed to underpayments resulting from improper coding procedures. Gastroenterology requires a complex billing procedure that would accurately identify the type of process done on a patient to ensure fair and accurate payment.
At other times, gastroenterology’s requirements for billing exceeds what medical billing software can do, and as a result, gastroenterology practices enlist the services of medical billing firms to assist in the practice’s billing procedures.
