Billing companies that work gastroenterology claims every day and take on practices in Houston, TX. 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:
A lot of Houston GI groups run their own ambulatory surgery center, so each case throws off a facility fee on top of the professional fee, with anesthesia and pathology as separate streams. Hospital-owned GI programs compete for the same patients at lower overhead. The independents that stay profitable usually have fast pathology reconciliation and clean screening-versus-diagnostic coding. Pathology from polyp removal often goes to an outside lab, so the specimen, the lab claim and the procedure claim have to tie to the same date.
That second part is the colonoscopy trap. A screening that turns diagnostic when the doctor removes a polyp changes what the patient owes and how the claim is built, and plans differ on how they handle it. Patients call angry about a bill they thought was free. Have any candidate walk you through a screening that finds a polyp, from claim to patient statement. If they stumble, they have not done this work.
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 Houston, TX.
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