Power-Up Revenue, Productivity, and Clinical Charting for Gastroenterology with our AI-Driven Outsourced Services or In-House Platform.

A screening colonoscopy turns diagnostic the moment a polyp comes out. If the claim doesn't carry the right modifier, the patient gets a bill they didn't expect and your practice gets a dispute, a callback, or a write-off. GI billing is full of moments like that, and a generalist billing team misses them.

ADSRCM's gastroenterology billing services handle the full revenue cycle for GI practices, endoscopy suites, and ASCs. Our team works the claims that cost GI groups the most:

• Screening-to-diagnostic conversions, with modifier PT for Medicare and modifier 33 for commercial payers
• Same-day EGD and colonoscopy, billed under the right multiple-procedure rules so the second procedure isn't underpaid
• Professional and facility claims for ASC cases, split cleanly so neither side gets denied
• Anesthesia, pathology, and biologic infusion charges for IBD patients, captured and authorized before the date of service
• Prior authorizations for capsule endoscopy, motility studies, and specialty drugs

Every claim runs through the ADSRCM AI Rules Engine before it goes out. It flags missing modifiers, bundling conflicts, and payer-specific edits so claims go out clean the first time. Denials that do come back get corrected and resubmitted by a team that knows GI coding.

You keep full visibility. Dashboards and KPI reports show collections, days in A/R, denial rates, and payer trends whenever you want to look, not just at month end.

Keep your current EHR if it works for you. Our billing runs on MedicsPremier practice management, which interfaces with the EHR you already use. If you want one connected system, the ONC-certified MedicsCloud EHR includes gastroenterology templates and MedicsScribeAI.

ADS has supported specialty practices since 1977. Find out what your GI claims are leaving on the table.

Gastroenterology Billing FAQs

What do your gastroenterology billing services include?

Eligibility checks, coding, charge entry, prior authorizations, claim submission, payment posting, denial management, appeals, and patient statements for office, endoscopy suite, and ASC claims. Learn more about our revenue cycle management services.

How do you bill a screening colonoscopy that becomes diagnostic?

We apply modifier PT for Medicare and modifier 33 for commercial payers, and check each payer's cost-sharing rules so the claim pays and the patient isn't surprised by a bill.

How much do GI billing services cost?

Billing services are priced as a percentage of collections on a sliding scale by volume. We'll give you a number after a short review of your current billing.