Gastroenterology Billing Services

Gastroenterology billing is a different beast. From high-volume scopes to bundled procedures and elusive modifiers, billing for GI services is anything but straightforward. One missed code or overlooked op note, and your reimbursements are toast.

At 3Gen Consulting, we specialize in gastroenterology revenue cycle management for U.S. healthcare providers – built for complexity and speed. Whether you’re an endoscopy center, multispecialty practice, or hospital GI unit, our certified coders and billing experts know exactly how to handle GI procedure coding for time-based procedures, pathology add-ons, and ever-changing payer rules. And with CodeGen-i, our proprietary GI coding AI platform, we turn documentation chaos into clean, compliant claims – fast. Because in GI billing, precision isn’t optional. It’s everything.

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    Digest the Details. Automate the Rest.

    CodeGen-i: Turning GI Coding Mayhem into Money

    Between biopsies, dilations, polyps, and pathology – gastroenterology coding is a full-blown puzzle. One wrong modifier or a missed add-on, and you’re looking at denials, delays, or underpayments. That’s why we built CodeGen-i — our proprietary gastroenterology coding automation platform designed to get every scope, snare, and segment coded right the first time.

    CodeGen-i doesn’t just assist with coding. It elevates it. From parsing procedure notes to flagging documentation gaps and suggesting payer-specific logic through our AI in gastroenterology billing, CodeGen-i helps your coders work faster, smarter, and more accurately – no second guessing, no bottlenecks.

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    What CodeGen-i Powers:

    • Real-time CPT, ICD-10, and modifier validation based on GI-specific payer rules
    • Pathology and biopsy mapping that links findings to the right billing codes automatically
    • Smart logic for bundled procedures and time-based GI services
    • Documentation flagging to prompt providers for missing op note elements
    • Live dashboards to track coder performance, claim status, and denial patterns

    Our Gastroenterology Revenue Cycle Management Services

    From scheduling scopes to fighting denials, we handle the entire gastroenterology medical billing workflow – precisely, efficiently, and with payer-specific compliance built in. Whether you’re billing for diagnostic endoscopies, EMRs, or advanced GI procedures, our certified experts and CodeGen-i platform ensure your claims stay clean and your revenue flows uninterrupted.

    • Eligibility & Pre-Procedure Authorization
      Avoid last-minute surprises with real-time eligibility checks and pre-auth workflows tailored for GI medical billing and outpatient gastro procedures.
    • Gastroenterology Coding Services
      From CPT codes for gastroenterology to pathology add-ons, we specialize in time-based procedures, modifier management, and bundling rules – all powered by CodeGen-i for faster, more accurate gastroenterology coding and billing.
    • Documentation Support & Compliance Audits
      We help your GI providers document smarter and stay compliant with CMS, NCCI, and payer-specific guidelines through ongoing audits and education — key to successful gastroenterology denial management.
    • GI Billing & Claims Submission
      Clean claims. Correct modifiers. Right-first-time formatting. We submit GI claims with speed and precision – and no code left behind.
    • A/R Management & Denial Resolution
      We don’t just follow up — we follow through. Get paid faster, with fewer write-offs.
    • A/R Follow-Up & Denial Management
      When payers push back, we push harder. Our team identifies root causes, files timely appeals, and recovers lost revenue with minimal write-offs – a hallmark of expert outsourced gastroenterology billing.
    • Payer Contracting Support
      From benchmarking fee schedules to reviewing GI procedure carve-outs, we help you negotiate rates that reflect the complexity of your care — all as part of a full-service gastroenterology revenue cycle management company.
    Our Gastroenterology Revenue Cycle Management Services

    The 3Gen Advantage

    Not all gastroenterology billing companies are built alike. At 3Gen Consulting, we bring together specialty-specific expertise, AI-powered gastroenterology RCM software, and proven results to make your GI medical billing faster, more accurate, and fully compliant. Whether you’re running a hospital GI unit, a busy endoscopy center, or a multispecialty group, U.S. providers trust us as their gastroenterology billing company of choice. From coding precision to payer negotiations, we handle the heavy lifting so your team can stay focused on care. Still not convinced? Here are some additional reasons to highlight the 3Gen Consulting gastroenterology billing services difference.

    The 3Gen Advantage

    Our AAPC and AHIMA certified coders know their way around colonoscopies, EMRs, EUS, and every modifier in the gastroenterology coding book.

    Our proprietary AI platform drives accuracy in complex gastroenterology coding and billing and prevents denials before they happen.

    Every GI practice is different. We build workflows tailored to your procedure mix, documentation style, and volume-based reporting needs.

    Track your revenue, denials, and productivity in real time – with intuitive dashboards and actionable analytics designed for gastroenterology revenue cycle management.

    Whether you’re expanding locations or adding new procedures, our GI billing specialists and platform scale with you – without missing a beat.

    From outsourced gastroenterology billing to compliance and payer contracting, we support your full RCM lifecycle.

    Our Results

    We don’t just manage your gastroenterology billing services — we optimize them. Our clients consistently see faster payments, cleaner claims, and fewer denials across the board. With our AI-powered GI revenue cycle management and expert support team, medical billing for gastroenterologists becomes less of a burden — and more of a revenue driver. The results below are based on current performance with GI practices across the U.S. (individual outcomes may vary).

    98%+ Gastroenterology Coding Accuracy

    48-Hour Turnaround on GI Charges & Claims

    <5% Denial Rate on First Pass

    12–20% Lift in Collections

    Frequently Asked Questions

    Frequently Asked Questions

    GI billing involves a high volume of time-based procedures, pathology components, and modifier-heavy claims. From bundled CPT codes to strict payer rules, even one coding mistake can lead to denials or underpayments. That’s why working with a gastroenterology billing company that understands the nuances is essential.

    CodeGen-i is our proprietary AI platform built specifically for gastroenterology medical billing. It helps coders identify missed modifiers, apply bundling rules correctly, and flag documentation issues before they impact reimbursement — all in real time.

    Absolutely. Whether you need full-service GI billing or just support with coding, denial management, or payer contracting, we offer flexible, tailored solutions.

    Yes. We integrate with most leading EHRs and ERPs used by GI practices in the U.S., so you don’t have to change systems or workflows. We work within your existing environment to streamline medical billing for gastroenterologists.

    Our certified coders undergo regular training and audits, and our CodeGen-i platform continuously updates with CMS, NCCI, and payer-specific rules. We also provide ongoing education and documentation support to your providers.

    Just reach out through our contact form. We’ll set up a discovery call to understand your current GI billing workflow, pain points, and goals – and then propose a custom solution that fits your practice.

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