4.9/5.0
100+ Providers Trust
GI Billing Services That Optimize Procedure
Integrated Workflows That Reduce Administrative Burdens & Improve Financial Outcomes.
Specialized Endoscopy & procedure billing expertise.
Faster Speed reimbursements with clean claims.
Proactively reduce denials for screening vs. diagnostic coding.
Monthly reports with CPT-level revenue tracking.
Streamlined Medical Billing Solutions
Designed To Maximize Your Practice Revenue
Our Experienced Team Delivers Accurate, Compliant, & Efficient Billing Services, Helping Healthcare Providers Reduce Denials, Improve Cash Flow, & Focus On Patient Care.
Numbers That Tell Our Story
” BEHIND EVERY STAT IS A MILESTONE WE ARE PROUD OF “
IN BUSINESS
CLAIMED PROCESSED
REDUCTION IN AR
REVENUE IMPROVEMENT
FIRST PASS CLAIM RATE
Smarter Gastroenterology Medical Billing
Solutions Across the Nation
Streamlined GI Billing for Better Cash Flow
Gastroenterology billing is complex, covering endoscopic procedures, anesthesia, and lab tests, with states like California, Florida, and Ohio enforcing strict payer edits that slow reimbursements. Evocare automates workflows to ensure accuracy in documentation and coding, catching errors before submission to reduce costly delays. Our qualified billing team stays aligned with CMS updates and payer-specific GI guidelines, while providing denial trend analysis and performance reporting. As a result, GI practices experience stronger collections, reduced administrative burden, and more consistent cash flow.
Eliminate GI Billing Revenue Loss
Incomplete documentation and incorrect anesthesia coding are common denial triggers, especially for practices in Texas, Illinois, and New Jersey that face strict payer compliance requirements. Evocare maintains a 98% clean claim rate through real-time denial prevention tools and proactive claim audits. Our qualified billing experts customize workflows to meet each payer’s specific rules while staying aligned with CMS and anesthesia billing guidelines. With advanced reporting and denial trend monitoring, gastroenterology providers protect revenue, accelerate collections, and achieve consistent financial performance nationwide.
Boost Revenue Flow For Your GI Practice
We provide expert billing for endoscopy, colonoscopy, and ERCP procedures, ensuring accuracy in screening versus diagnostic coding. Our team minimizes denials for infusion and biologic therapy through fast prior authorization and insurance eligibility checks. With dedicated billing support for both hospital and ASC settings, we help optimize revenue and streamline reimbursement for high-volume gastroenterology procedures.
Gastroenterology RCM Process
Simplify financial and operational challenges with a process tailored for endoscopies, colonoscopies, and advanced GI procedures.
Gastroenterology Billing & Revenue
Management Solutions
Improving reimbursements through expert coding for GI care procedures.
Real-time verification that prevents rejections & secures faster payments.
Fast, accurate credentialing that gets your providers enrolled & billing without delays.
Patient-focused CCM programs that improve outcomes & generate recurring revenue.
Skilled virtual assistants who simplify clinical tasks & boost provider productivity.
Efficient front desk operations improving accuracy, workflow, & patient satisfaction.
Real-time verification that prevents rejections & secures faster payments.
Fast, accurate credentialing that gets your providers enrolled & billing without delays.
Patient-focused CCM programs that improve outcomes & generate recurring revenue.
Skilled virtual assistants who simplify clinical tasks & boost provider productivity.
Efficient front desk operations improving accuracy, workflow, & patient satisfaction.
Billing Without Hassle!
Streamline Your Workflow & Boost Productivity With Our Innovative Solutions.
EHR’s We Work With
Evocare Billings Keep Your Billing Flawless & Fully Integrated – No Matter Which EHR or EMR Your Practice Runs On
Hear From Our Clients
From Struggle To Streamlined — Their Words, Our Wins, & Voices Of Success.
Streamline Revenue for Your Gastroenterology Practice
Gastroenterology billing is complex, involving high-volume procedures like colonoscopies, endoscopies, and ERCPs. Our qualified, CPC- & CPB-trained billing professionals ensure accurate claim submissions, correctly distinguish between screening and diagnostic procedures, and manage infusion and biologic therapy billing in accordance with payer guidelines. This approach reduces denials and accelerates reimbursements.
We provide tailored billing support for both hospital and ASC settings, ensuring compliance with CMS requirements and payer policies. With a team of qualified coding & billing specialists optimizing your revenue cycle, we help GI practices improve cash flow while focusing on exceptional patient care.
Let's get in touch
Please fill up the form, one of our AAPC certified medical biller and coder will reach out to you
Frequently Asked Questions By
Gastroentrologist
If You Can’t Find The Answer You’re Looking For, That’s No Problem. Schedule a Demo, & We’ll Work To Answer Your Question.
Why do colonoscopy screenings deny for patients with symptoms?
Billing G0105/G0121 denies if the patient presents with symptoms (e.g., R19.7 diarrhea). In such cases, diagnostic codes like K63.5 (polyp) require CPT 45378–45385 instead. Correct linkage prevents denials.
How do pathology charges complicate endoscopy claims?
When biopsy (45380) and polyp removal (45385) occur, both can be billed if distinct specimens are taken. Modifier -59 ensures separation; otherwise, only the therapeutic procedure is reimbursed.
Why do ERCP claims frequently deny?
ERCP codes (43260–43278) require documentation of both diagnostic and therapeutic intent. Billing 43264 (stone removal) without charted fluoroscopy or cannulation often denies. Complete procedure notes support claims.
How does sedation billing impact GI revenue?
Moderate sedation (99152–99153) is separately billable unless anesthesia performs it. Many practices miss sedation reimbursement, reducing revenue by $50–$150 per case. Documentation of start and stop times is essential.
Why do capsule endoscopy claims deny?
CPT 91110 requires physician review and interpretation. If billed without evidence of image analysis, claims deny. Linking to R19.4 (change in bowel habits) or K92.1 (GI bleed) ensures necessity.
Why do modifier 33 and PT errors cause preventive colonoscopy denials?
Modifier 33 and PT must be applied correctly to distinguish preventive from diagnostic colonoscopies. If symptoms or incorrect diagnosis codes are linked, payers reclassify the service as diagnostic. This results in denials or patient cost-sharing instead of full preventive coverage.
Get paid faster with 24/7 expert medical billing support
Seamless integration with your EHR for smooth workflow operations
Trusted nationwide for a 99% client retention rate
