Billing companies that work gastroenterology claims every day and take on practices in Sacramento, CA. Describe your practice once and compare their proposals.
A few questions about the practice, then billing companies that fit send proposals. You are not committing to anything.
Hand off all of it or just the parts that are breaking. Say which in the form so the proposals match.
Charges entered, claims checked against payer edits, and sent daily so clean claims go out the first time.
Every denial worked, appealed, or corrected, with the root cause tracked so the same denial stops repeating.
Old balances called on and worked by payer and by age until they are paid, adjusted, or written off on purpose.
Certified coders assign CPT, ICD-10, and modifiers from your notes, or audit the codes your providers pick.
New providers enrolled with payers, CAQH kept current, and revalidations handled before they lapse.
Statements, online payment, payment plans, and the phone calls that come with them, handled in your name.
Eligibility checks, prior authorizations, and old AR cleanup go through the same request. If you only need one piece, say so.
There is no right answer for every practice. The usual tradeoffs:
Hepatitis C and fatty liver disease are a growing part of the GI workload in the Sacramento valley, and the billing around them looks nothing like a colonoscopy. A liver clinic does elastography to measure scarring, orders expensive antiviral drugs that require plan approval, and follows patients through months of lab work. Medi-Cal managed care and commercial plans each have their own criteria for drug authorization. Those authorizations are the revenue that never shows up in a claims report. A patient who does not get treated is a patient who was lost, and the practice sees fewer claims for follow-up. The billing company ought to measure authorization turnaround, not only payment.
On the endoscopy side, independent GI groups in the region own surgery centers or rent time in hospital outpatient departments, which changes the payment for the same procedure. Sutter and Dignity physicians work inside their systems. Screening colonoscopy now starts earlier than it used to for average-risk patients, and plans have adopted the change at different speeds. Check that your staff verifies coverage by age for each plan.
Looking for gastroenterology billing in other cities? See the gastroenterology billing site.
Three steps. Most practices hear from the first billing company within a business day.
Specialty, providers, claim volume, your software, and what you want handled.
Your request goes to billing companies that work your specialty and take on practices your size in Sacramento, CA.
Compare fees, scope, reporting, and contract terms side by side. Pick one, or none.
What practice managers usually ask before they fill out the form.
Describe the practice once and compare proposals from billing companies that fit. No obligation.
Request proposals