ZOO HEALTH
Gastroenterology Billing United States
GI Billing for Procedures and Diagnostic Care Nationwide
Zoo Health provides specialized gastroenterology billing services across the United States, helping GI practices improve collections, reduce denials, and streamline claims submission for diagnostic and procedural care. Our onshore team supports coding, claim submission, denial management, and AR follow up to protect practice revenue.
Why Choose Zoo Health
Specialty focused GI billing expertise for endoscopy, diagnostics, and office based services
Onshore patient facing communication with local phone numbers and no offshore call centers
Denial prevention workflows built around benefits checks, documentation review, and timely appeals
Preferred integration support for Elation Health and compatible practice systems
Transparent dashboards for claims paid rates, denial trends, AR aging, and revenue performance
Percentage based pricing aligned with collections with long term partnership focus
Our Process
01
Discovery and Consultation
We review workflows, payer mix, and common procedures such as colonoscopy, ERCP, and capsule endoscopy.
02
Proposal and Agreement
We present an RCM plan aligned to practice goals and integration needs.
03
Onboarding and IntegrationOnboarding and Integration
We complete data migration, system setup, and staff alignment with minimal disruption.
04
Claims Submission and Follow Up
We validate coding, submit claims, and follow up with payers to improve claims paid rates.
05
Denial Management and AR Optimization
We manage denials, submit appeals, post payments, follow up on AR, and report performance.
Our Services
01
Specialty gastroenterology billing including colonoscopy, screening colonoscopy, capsule endoscopy, ERCP, and biopsies
02
Claims submission and follow up for Medicare and commercial payers
03
CPT and diagnosis code validation with documentation requirement checks
04
Prior authorization support and insurance benefits verification
05
Denial management, appeals, AR management, and payment posting
06
Patient billing support with onshore patient facing communication
Frequently Asked Questions
What is gastroenterology billing and how does it differ from general medical billing?
Gastroenterology billing focuses on coding, documentation, and payer rules specific to GI procedures and diagnostics. It requires accurate CPT codes, diagnosis codes, and medical necessity support for procedures such as colonoscopy and ERCP.
Which gastroenterology procedures do you handle?
We support billing for screening colonoscopy, diagnostic colonoscopy, capsule endoscopy, ERCP, biopsies, related diagnostics, and office visits.
Can you submit claims to Medicare and commercial insurance plans?
Yes. We submit claims to Medicare and commercial payers, manage payer specific rules, and follow up until claims are paid or properly appealed.
Do you handle prior authorizations for procedures like capsule endoscopy or ERCP?
Yes. We verify benefits, request prior authorizations when required, and document medical necessity to support approvals and reduce cancellations.
What documentation do payers typically require for GI procedures?
Payers commonly require clinical notes supporting medical necessity, diagnosis codes, procedure details, medical record documentation, prior authorization approvals when required, and test results that justify the service.
Can you help with complex coding like biopsies and anesthesia during endoscopy?
Yes. We validate CPT and diagnosis codes, support anesthesia coding when applicable, and reconcile bundled and separate services to support appropriate reimbursement.