What is Gastroenterology?

Gastroenterology is a branch of medical science that focuses on medical diagnoses and diseases related to the digestive system. Moreover, it also studies all disorders that directly influence the working of our body’s digestive system. It also deals with illnesses that can directly be linked to the functioning of the intestine, liver, and pancreas. This is considered an important medical field because it specializes in the working of the gallbladder, binary Tree, and pancreas.

A Gastroenterologist is a person who specializes in taking care of people suffering from stomach, intestine, and liver-related issues. It also has a specialty in dealing with issues related to the pancreas, diarrhea, constipation, and irritable bowel syndrome. Inflammatory bowel diseases and gastrointestinal tract cancers also come under the expertise of a Gastroenterologist.

Gastroenterology Medical Billing and Coding

Gastroenterology Medical billing and coding is a comprehensive process used for translating all types of Gastroenterology-related care and treatments into standardized CPT Codes. These specifically include medical facilities linked with the digestive system and issues related to the pancreas, diarrhea, constipation, and many others. These CPT codes are submitted before insurance providers for claiming reimbursements. In the realm of gastroenterology, medical biller and coders are considered important stakeholders, because they can ensure timely reimbursement against provided healthcare facilities.

As far as the scope of gastroenterology medical billing is concerned, it covers a wide range of services and procedures. For instance, the primary Gastroenterology medical billing services include endoscopy, colonoscopy, and upper GI endoscopy. All these procedures are considered essential because they are somehow linked with the digestion of the human body. All these procedures correspond to a specific medical code that can be submitted before the insurance provider to claim reimbursements. It has been observed that medical billers and coders should be quite conversant with all these diagnosis codes in order to submit accurate and clean claims.

Gastroenterologists should be able to employ various diagnostic codes for submitting clean claims. There are quite complex codes like GERD and Code for abdominal pain that require an in-depth understanding of CPT coding. Moreover, it has also been observed that the medical billing and coding procedure in gastroenterology medical billing is getting more complex with the evolving healthcare landscape. New CPT codes and new Coding procedures are being introduced continuously by the government and other regulatory authorities.  Therefore, it becomes imperative for Gastroenterologists to comply with all these coding guidelines strictly. This will help them to boost their revenue management cycle. Read More...