Screening that becomes diagnostic
When a screening colonoscopy finds and removes a polyp, specific modifiers determine coverage and patient cost-sharing.
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Gastroenterology billing hinges on procedures, and screening versus diagnostic coding affects what patients pay. We get it right.
When a screening colonoscopy finds and removes a polyp, specific modifiers determine coverage and patient cost-sharing.
Some payers require approval for endoscopy and related procedures.
Procedures involve separate provider, anesthesia and facility claims that must match.
Most patients arrive by referral from primary care.
Procedure coding with correct screening and diagnostic modifiers.
Authorization and eligibility checks before procedures.
Surgery center and hospital privileges along with payer enrollment.
Referral outreach to primary care practices.
Every one of our services is available to your practice.
“Professional, efficient and truly excellent at what they do. They captured my vision for my professional branding and brought it to life.”
Jartu Wleh, FNP, Family nurse practitioner
“They handle all the paperwork while you focus on your patients' care. They did my website, and I really fell in love with their work.”
Marthe Ngemhe, Practice owner
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We apply the modifiers each payer requires so the procedure is recognized as having started as a screening.
We support physician billing and credentialing, and coordinate with the facility's billing team.
Book a free 30-minute consultation. We'll look at your billing, credentialing and growth and tell you where to start.