Better Bundling. Cleaner Claims.
Gastroenterology Billing & Revenue Cycle Management
From colonoscopies to advanced GI procedures, we get billing right. Our gastro-focused RCM delivers accuracy and efficiency.
RCM Solutions for
Gastroenterology Practices
Gastroenterology practices handle a diverse range of procedures—from endoscopies and colonoscopies to chronic disease management—each with its own coding and billing complexities. Our team streamlines prior authorizations, a common challenge in GI practices, to minimize delays and ease administrative workload.
Health Prime’s deep experience in gastroenterology billing ensures precise coding, timely claims submissions, and optimized reimbursements, helping your practice maintain strong financial performance while focusing on patient care.
The Tools You Need, Tailored for You
Technology that powers RCM performance
Health Prime’s purpose-built technology platform simplifies and strengthens your revenue cycle and drives consistent financial results with automation, accuracy, and insight-driven performance. From procedure bundling rules to anesthesia integration and pathology coordination, our software-agnostic technology can:
- Automate charge capture for procedures, screenings, biopsies, and anesthesia across multiple systems
- Apply rule-based coding logic to ensure correct use of CPT codes, modifiers, and pathology linkage
- Eliminate lag with exception-based workflows and rapid eligibility verification
- Support compliance with evolving CMS rules for colonoscopy screenings and surveillance intervals
Data-driven analytics and business intelligence
Health Prime’s dynamic dashboards give gastroenterology practices 24/7 access to the financial and operational metrics that matter most—from case volumes and procedure mix to denial trends, payer behavior, and aging A/R.
With insights tailored to the full scope of GI services, our analytics platform offers timely business intelligence to help you:
- Track reimbursement trends across endoscopies, colonoscopies, biopsies, and office visits
- Monitor denials by procedure type, provider, or payer
- Analyze productivity, case volume, and financial performance by location or physician
Results You Can Expect
Quick, Clean Claim Submissions
Reduce denials on routine procedures and bundled services.
Stronger Cash Flow Management
Optimized coding and billing drive faster, fuller reimbursements.
Simplified Billing Experience for Patients
Help patients understand their GI procedure costs clearly and easily.
What Sets Us Apart for Gastroenterology Practices
Specialty-Focused Coding
Expertise in common and advanced procedures, from colonoscopies to ERCPs.
Bundling & Modifier Accuracy
We minimize underpayments with proper use of modifiers and procedure grouping.
Prior Auth & Eligibility Verification
Prevent payment delays with proactive front-end checks.
Customized Performance Dashboards
Track collections, payer performance, and procedure volumes in real time.
stats
It's all in the numbers
Success rate of claims accepted on the first pass
Increase in reimbursement year-over-year
Increase in overall practice productivity
Success rate of claims accepted on the first pass
Increase in reimbursement year-over-year
Increase in overall practice productivity
Want More?
Explore in-depth articles, updates, and expert insights on gastroenterology revenue cycle management.
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Take The Next Step
Ready to simplify your revenue cycle and boost your practice’s financial performance?
Contact us today to learn more or schedule a consultation.
Take The Next Step
Partner with an RCM team that understands the ins and outs of GI billing.
Contact our experts today to learn more.