Gastroenterology

The focus on gastrointestinal (GI) diseases and illnesses has increased dramatically over the past few years. The need for colonoscopies and endoscopic surgeries has resulted in gastroenterologist being one of the highest users of ambulatory surgery centers.

With the increase in surgeries and patient visits, it is critical that gastroenterologist receive the proper eligibility verification and prior-authorizations. These two requirements often result in denials if not completed timely and accurately.

As one of the specialties with greater costs, rising demand, and shrinking reimbursements levels, gastroenterologist cannot afford delays in AR or claims being denied. With the introduction of ICD-10, there were more than 80 GI codes impacted. These burdens can have devastating results on a practice’s bottom line.

Gastroenterology

The focus on gastrointestinal (GI) diseases and illnesses has increased dramatically over the past few years. The need for colonoscopies and endoscopic surgeries has resulted in gastroenterologist being one of the highest users of ambulatory surgery centers.

With the increase in surgeries and patient visits, it is critical that gastroenterologist receive the proper eligibility verification and prior-authorizations. These two requirements often result in denials if not completed timely and accurately.

As one of the specialties with greater costs, rising demand, and shrinking reimbursements levels, gastroenterologist cannot afford delays in AR or claims being denied. With the introduction of ICD-10, there were more than 80 GI codes impacted. These burdens can have devastating results on a practice’s bottom line.

Partnering with You

At Advantum Health we understand the importance of receiving prior-authorization approvals before you enter the surgery room. Our staff has experience with hundreds of payers across the country and knows the details required and in what format for each payer.

We also know the complexities of entering the right evaluation and management (E/M) codes and the right modifiers depending on the procedure performed. Having the right process and physician documentation can save your practice thousands of dollars in AR – not to mention days in AR.

The Advantum team partners with many gastroenterology practices across the US to perform services to relieve your staff of unnecessary administrative tasks.

  • Prior-authorization
  • Eligibility verification
  • Charge capture & coding
  • Medical billing
  • Denial management
  • AR follow-up
  • Coding audit
  • MACRA and MIPS reporting

Learn More About Our Services

Coding Audits

Often having an outsider look into your coding practices can not only save you money but keep you from future scrutiny.

Credentialing

Administrative tasks can take hours, days, weeks, and even years of you and your staff’s time. Let us help.

Prior-Authorization

Advantum Health has a team of experts focused solely on submitting prior-authorizations for our customers.

Professional Services

Advantum Health offers a risk-free way for providers to focus on the health of their patients rather than administrative complexities.

RCM Services

Advantum Health is the only service organization that works on your revenue cycle 24 hours a day, 7 days a week.