- +1 (763) 392-3936
- Info@curelife.co
- 11524 Elmwood Ave N Champlin
Gastroenterology billing is full of details that can quietly drain revenue if they are not handled with precision. Documentation must clearly support indications and findings, technique and tools used for polypectomy or biopsy, and whether a screening converted to therapeutic care. Add frequent payer updates and differing rules for commercial plans and Medicare, and in house teams can struggle to keep denials and underpayments in check.
CureLife brings specialty focused expertise that aligns your notes with the correct CPT, ICD 10, and HCPCS selections for colonoscopy, EGD, ERCP, EUS, dilation, banding, EMR, and other advanced procedures. We verify screening benefits up front and apply the right modifiers such as 33 for commercial plans and PT for Medicare when a screening becomes therapeutic, while also knowing when payer policy expects modifier 51 versus distinct procedural services. Claims are scrubbed against bundling edits, anesthesia and pathology are coordinated, and any denials are resolved quickly with targeted corrections and strong appeals.
We’re here to assist you Monday to Saturday
CureLife turns complex gastroenterology billing into clean, compliant claims that get paid the first time. We translate endoscopy and clinic notes into precise CPT, ICD 10, and HCPCS codes, verify screening benefits in advance, and apply the correct modifiers so payment reflects the care delivered. That includes using 33 for commercial screening services and PT for Medicare when a screening colonoscopy becomes therapeutic, choosing 59 only when distinct procedural services are truly separate, and applying 51 correctly when multiple procedures are performed in one session. We also prevent common pitfalls such as billing a biopsy that is bundled with a higher valued polypectomy, missing EMR or EGD details like technique and tools, or misclassifying diagnostic versus screening encounters.
Before submission, RPA assisted edits and human quality checks validate medical necessity, bundling rules, frequency limits, and documentation for services such as colonoscopy, EGD, ERCP, EUS, dilation, banding, EMR, and capsule endoscopy. Claims go out the same day, denials are worked with targeted corrections and strong appeals, and underpayments are flagged against your contracts. We coordinate anesthesia and pathology claims, link diagnoses to specimens correctly, and secure authorizations for advanced procedures or high cost drugs to avoid delays.
Gastroenterology services take place across clinic, ambulatory surgery centers, and hospitals, often with multiple clinicians involved. Claims must reflect the setting, the professional and technical components, and the exact work performed while honoring endoscopy.
Payment for moderate sedation depends on who provided it and the documented time. Some endoscopic procedures include sedation as inherent and others allow separate reporting when an anesthesia professional is present.
After treatment, many patients transition to surveillance. Whether a future colonoscopy is considered screening or high risk depends on prior findings such as adenomas, incomplete preparation, or ongoing symptoms.
Let CureLife handle your billing, so you can focus on what matters most caring for your patients. Our expert team is ready to help you increase revenue, reduce administrative stress, and streamline your entire billing process.
At CureLife, we are committed to maintaining the highest standards of security, privacy, and compliance in the healthcare industry. Our certifications include:
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Your trusted partner for reliable and efficient medical billing solutions. Empowering healthcare practices with seamless revenue cycle management and dedicated support.
+1 (763) 392-3936
Info@curelife.co
11524 Elmwood Ave N Champlin, MN 55316-2665, USA
