Your endoscopy schedule is full. Your collections do not match it. Somewhere between the scope and the payer, gastroenterology revenue is leaking. Usually it is the coding.
The Cost of Gastroenterology Billing Errors Adds Up Fast
GI billing punishes small mistakes harder than most specialties. A single colonoscopy conversion coded wrong denies the whole claim. Multiply that across a full schedule and the leak becomes serious. The usual failure points:
- Screening-to-diagnostic conversions coded as plain diagnostic procedures.
- Modifier PT and modifier 33 routed to the wrong payers.
- The screening diagnosis code sitting in the wrong position.
- Denied claims left sitting with nobody working the appeal.
- New providers billing before payer enrollment clears.
Every one of these is preventable. Most billing vendors never catch them.
What Software-Led Billing Platforms Cannot Do
Platforms want you on their system. They automate submission and call it billing. Submission is the easy part. GI revenue is won in the messy middle: the converted colonoscopy, the payer-specific modifier, the appeal that takes three calls. Software submits. People close.
How HRG Handles Gastroenterology Billing
HRG audits every claim and catches screening conversions coded wrong before submission. Specialists flag PT and 33 landing on the wrong payer. They work denials instead of filing and waiting. Everything happens inside your own EHR and payer portals, so you watch it in real time. For the full breakdown, read our guide to why colonoscopy claims deny. HRG also audits and verifies coding accuracy through our medical billing services, and supports payer enrollment so new providers start billing sooner.
| What matters | Typical vendor | HRG |
|---|---|---|
| GI coding depth | Generic | Screening and therapeutic built in |
| Denial work | Submit and stop | Worked to resolution |
| Systems | Their platform | Your EHR |
| Staffing | Often offshore | U.S.-based |
| Contract | Long lock-in | Month to month |
The Process Designed to Help GI Practices Collect Faster
- Review. We map where your GI claims deny and why.
- Set up. We work inside your existing EHR and portals.
- Clean the front end. Coding accuracy checks stop denials before submission.
- Work the back end. We chase denials and rebuild your aged A/R.
- Report in real time. You see claim status inside your own system.
Get a 20-Minute Billing Review
How HRG Pricing Works
HRG bills hourly against a monthly hours budget you set. You review invoices before charges apply. No percentage of collections. No minimum term. One-page agreement, month to month.
What HRG Can Prove
HRG has run practice billing for more than 26 years. When a high-volume clinic switched to HRG from a non-responsive vendor, collections improved by 40% and denials dropped by 35%. A/R fell from millions to thousands. The pattern repeats. Clean coding and real follow-up recover money the schedule already earned.
Gastroenterology Billing FAQ
Do you understand GI-specific coding?
Yes. Colonoscopy conversions, EGD, ERCP, and the payer-specific modifiers are core to how we bill GI.
Will this disrupt our workflow?
No. HRG works inside your current EHR. There is no new platform for your team.
Who does the work?
U.S.-based billing specialists assigned to your account. No offshore handoffs.
Can we leave if it is not working?
Yes. The agreement is month to month with no lock-in.
Do you handle coding and prior authorizations?
HRG audits and verifies coding. HRG advises on prior authorization workflow. Both stay owned by your team.
Talk to the Person Who Will Run Your Billing
No pitch. A working review of where your GI revenue leaks. Book a 20-minute billing review or call 913-937-2995.