Gastroenterology Billing
Screening vs. diagnostic colonoscopy billing, and endoscopy bundling, handled correctly.
Overview
Gastroenterology billing has one especially high-stakes distinction: a screening colonoscopy that becomes diagnostic mid-procedure (a polyp is found and removed) has to be billed differently than a purely preventive screening, and getting it wrong either creates an unexpected patient bill or an avoidable denial. AspireMedX applies that distinction correctly on every procedure claim.
Where claims usually go wrong
Billing a converted screening-to-diagnostic colonoscopy as a pure screening is one of the most common - and most consequential - errors in GI billing, since it can leave the patient with an unexpected bill. We flag procedure notes for that conversion before the claim is coded.
What we handle
- ✓Screening-to-diagnostic colonoscopy billing conversion and modifier use
- ✓Endoscopy and procedure bundling rules under NCCI edits
- ✓Anesthesia coordination billing for sedated procedures
- ✓Pathology billing coordination for biopsied tissue
- ✓Prior authorization for advanced procedures and infusion therapies
Talk to us about gastroenterology billing
info@aspiremedx.com · +1 (716) 242-2898
Other specialities
Internal Medicine Billing
Complex adult care and multi-condition visits, coded to match documentation.
Learn moreFamily Medicine Billing
Preventive care, chronic disease management, and referrals, billed without missing revenue.
Learn moreCardiology Billing
High-cost diagnostics and procedures, billed with the prior authorization to back them up.
Learn more