Gastroenterology Billing Services

What We Do

At 5 Star Billing Services, we provide comprehensive billing, collections, and practice management services tailored for gastroenterology providers. We begin with an initial evaluation of your practice and accounts receivable to streamline the process and ensure you receive payment promptly. Our team of expert billing professionals offers:

• Complete account receivables management
• 12-hour claims processing
• System-based eligibility verifications
• Quarterly coding updates
• Automated claims scrubbing
• Management of all billing inquiries
• Regular quality assurance audits
• Weekly progress meetings and report assessments
• Customizable monthly reports

Why Work With Us?

Billing for gastroenterology services can be challenging and requires extensive knowledge and gastroenterology-specific billing expertise. Medical billing companies that do not have experience working with gastroenterology specialists often make coding mistakes that cause claims to get denied or that lead to underpayment for incorrect services or procedures. For example, only a gastroenterology coder would know that in order to bill a colonoscopy they must also note advancement beyond the splenic flexure. Otherwise, the documentation would be incomplete and would only support a sigmoidoscopy. Generic billing software might not catch this, and it could lead to lower levels of reimbursement for the physician, which makes a difference over time.

5 Star Billing Services knows gastroenterology and endoscopy billing inside and out, which means your practice will receive maximum reimbursements for the services you provide. Our billers will work with you to evaluate underpayments and identify other problem areas. We also guarantee that your practice’s billing needs will be met by qualified gastroenterology billers. Our gastroenterology billing service is based in the United States and is fully compliant with HIPAA standards and regulations. This means that your patients’ protected health information will never be compromised.

To discover how 5 Star Billing Services can enhance your practice, call 480-999-0180 to speak with one of our representatives.

Benefits

At 5 Star Billing Services, we are equipped to manage multi-physician, multi-location practices while still delivering personalized attention to your account. We provide:

• Enhanced collections and revenue
• Faster payments and reduced stress
• 24/7 access to patient data and financial information
• Transparency throughout the entire revenue cycle
• Comprehensive financial and practice management reports

Areas of Expertise

Our billing and coding staff are highly trained and stay up-to-date with the latest changes in gastroenterology codes and payer requirements, ensuring accurate and prompt claim submissions. We are also skilled in managing claims denials and can appeal denied claims efficiently for quick reimbursement. Our team possesses extensive knowledge of:

Complex gastroenterology billing codes and rules
Gastroenterology-related terminology
Office notes and operative notes
Coding for surgical procedures
Code variations related to multiple procedure rules

Receivables Management

• Coding
• Billing
• Payer relations
• Patient relations
• Collections
• Client reporting
• Fee analysis
• Managed-care contracts

Your Gastroenterology Billing Company

A gastroenterology billing company should maximize your reimbursements and be more efficient and effective at billing than your own office. Whether you run a private practice or work in a hospital or multi-provider facility, a gastroenterology billing service can increase your practice’s profitability.

Industry experts consider a claims adjustment rate of between 20% and 35% to be good and acceptable. At 5 Star, our account executives have an average of eight years in gastroenterology billing, which is why our adjustment rate is consistently lower - as low as 12% with Medicare. We achieve AR rates for our practices that are higher than the industry average, meaning you and your practice will get a higher average return per processed claim.

5 Star Billing Services is more than a claims processing center. We offer multiple benefits and billing services. Our state-of-the-art billing system generates accurately-coded claims daily and submits them electronically. Once your superbills are processed, payment can be received in as little as ten days instead of three months.

A Gastroenterology Billing Company Should Help Reduce Your Expenses

Our clients reduce their office expenses by using our services and software – all you need is a PC and Internet access. Our practice management software is all-inclusive and part of our standard service. There are no costly software updates or support fees. There are no hidden costs or additional charges.

5 Star Billing Services is unique in the field of gastroenterology billing. We offer a complete business solution to your medical billing and practice management needs, and we do it all for one fee. All the medical billing services and benefits you receive are included, even your overnight mail for shipping your demographics.

Our fee is below the national average. Our goal is to provide the highest return on your claims at a competitive price, without sacrificing service or patient support.

Our Medical Billing Software

At 5 Star Billing Services, we use advanced, web-based medical billing software that can easily connect to your organization’s own data. We can also work with your own billing or practice management software, as our billing specialists have worked with most major billing systems, including Medisoft, Practice Admin, Lytec, Eclipse, AdvantX, and others.