Billing and Coding accurately for upper and lower GI endoscopic procedures has a direct effect on your compensation. CPC Unlimited offers the coding and reimbursement strategies necessary with navigating the complex landscape of GI Billing and Coding and obtaining maximum reimbursement.
With the insurance industry today, the Gastroenterologist and/or staff face extensive billing and coding challenges. Many of these challenges include; colorectal cancer screenings vs. colonoscopies, motility and GI function studies, claim delays for ERCP procedures, documenting proper levels of Evaluation and Management Services, category III codes for treatment of GERD, applying the use of proper modifiers
-51, -59, & -26
...and that's just probing the surface!
The most important aspect today is protecting you and your practice with Proper Documentation.
Proper documentation is imperative to protect you and your practice. Any insurance company you contract with has the right to audit your charts to ensure your documentation supports the procedures billed. If your documentation does not support what was billed to them, they can re-coup what they paid you along with penalties and interest. This can add up fast and become very costly!
Remember - "NOT Documented = Can't Prove it Occured"
You’re busy enough being a doctor, your staff is buried in paperwork and now the fight for your money has become
quite tedious.
- Coding Reports
- Supporting documentation
- ICD-9-CM, CPT Codes
- Appealing denials
- Insurance guidelines
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- Claims follow-up
- Timely filing
- Deductibles
- Classic insurance response; "We didn't get your claim"
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...is a small sample of challenges you and your staff face daily, managing billing & coding for Gastroenterology.
Constantly managing these challenges is vital to the financial health of your practice.
CPC Unlimited understands these challenges and we’re here to help. Our services include;
Why CPC Unlimited?
Our team of Certified Professional Coders successfully complete extensive training and education courses to obtain the most accurate information in Gastroenterology Billing and Coding today.
We make sure all your consultations and reports are coded to the highest level of specificity. Additionally, we submit claims accurately
by cross coding the ICD-9-CM and CPT code before claim submission.
By doing so, we decrease denials, maximize reimbursement and lower your risk for a costly audit.
Our dedication to your specialty, expert knowledge and superior service allow us to be the premiere service in Gastroenterology Billing and Coding.
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