- 5885 Allison St Unit 1029 Arvada, CO 80001-2645
- tj@amb5280.com
- (303) 940-1613
Gastroenterology billing involves complex diagnostic procedures, endoscopic services, recurring patient visits, and strict payer documentation requirements. Errors in documentation, authorizations, or billing workflows can quickly result in denials, delayed reimbursements, and revenue loss.
Accurate Medical Billing (AMB) delivers complete gastroenterology revenue cycle management services to help practices improve cash flow, minimize claim rejections, and maintain compliance with Medicare, Medicaid, and commercial insurance guidelines.
We manage the full billing lifecycle—from patient registration and insurance verification to claims submission, payment posting, and reporting—allowing providers to focus on patient care while we handle the financial operations.
Accurate collection and entry of patient demographics, insurance details, and required documentation to prevent errors at later stages.
Verification of active insurance coverage, policy details, and payer requirements before services are rendered.
Confirmation of patient benefits, deductibles, co-pays, and coverage limitations to avoid unexpected denials.
Complete recording of all billable services and procedures to prevent revenue leakage and under-billing.
Electronic submission of clean claims to insurance companies in a timely and compliant manner.
Accurate posting of payments from ERAs and EOBs to maintain transparent and up-to-date financial records.
Identification of denial causes, correction of errors, and submission of appeals to recover lost revenue.
Regular tracking and follow-up on unpaid or underpaid claims to reduce aging AR and improve cash flow.
Clear and timely patient statements along with support for resolving billing questions and outstanding balances.
Detailed performance reports covering collections, denials, reimbursements, and overall revenue trends.
Endoscopies, colonoscopies, biopsies, and diagnostic imaging require detailed documentation and accurate billing validation.
Many GI procedures require prior authorization, increasing administrative workload and denial risk.
Payers require strong documentation to justify diagnostic and therapeutic services.
Reimbursement rules differ significantly between Medicare, Medicaid, and private insurers.
Constant updates to payer policies and CMS guidelines require continuous monitoring.
For higher-collection practices, we offer volume-based discounts — as volume increases, the percentage can decrease. We’ll confirm the best-fit rate after a quick review.
Most practices fall in the 6%–12% range. Final pricing depends on volume, payer mix, specialty complexity, and current A/R and denial patterns, confirmed after a quick review of your last 60–90 days.
We prioritize electronic workflows to reduce cost and improve turnaround. If you request optional services outside standard billing, we scope and quote those items clearly up front—no surprises.
