One Source Medical Billing

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Gastroenterology Billing and Coding RCM service in

San Jose California

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One Source Medical Billing is a highly regarded and established medical billing company in San Jose, leveraging cutting-edge AI technology to manage medical billing and coding for a diverse range of healthcare providers, from small practices to large healthcare facilities. With advanced AI-powered solutions, One Source streamlines complex processes, ensuring accuracy, efficiency, and compliance across all levels of medical billing.

Why Outsourcing Your Gastroenterology Billing Is the Key to Higher Revenue and Lower Stress.

Gastroenterology billing is one of the most complex in all of outpatient specialty care. From diagnostic and therapeutic endoscopy, to screening colonoscopies, ERCPs, capsule endoscopy, and in-office procedures, GI practices bill a wide range of services—each with its own coding rules, modifiers, and payer-specific nuances. Whether you’re running a practice for Gastroenterology in San Jose or anywhere else in the country, the billing challenges remain the same.

One misused modifier can turn a reimbursable colonoscopy into a denied claim. Incomplete documentation can delay payment on high-value procedures like EUS or liver biopsies. On top of that, insurance carriers frequently change their policies, especially for screening vs. diagnostic procedures, making it increasingly difficult for in-house teams to stay ahead.

Many GI practices struggle with:

  • High denial rates due to incorrect bundling or modifier errors
  • Underpayments for high-complexity procedures
  • Staff burnout from managing complex billing requirements
  • Revenue leakage due to missed coding opportunities
  • Delays in payments that hurt cash flow and stall growth

That’s why more forward-thinking gastroenterologists are choosing to outsource their billing to a specialized partner who knows the GI revenue cycle inside and out.

What Makes Us Different?

We bring deep gastroenterology billing expertise to your practice—not generic RCM support. Our team understands the payer rules for GI procedures and stays updated with evolving compliance and reimbursement policies. When you work with us, you get:

  • Accurate coding for high-complexity procedures
  • Correct use of modifiers for scope-to-scope billing (like 33, 59, 51, and PT)
  • Clean claim submission and aggressive denial management
  • AR follow-up that recovers lost or delayed revenue
  • Transparent monthly reporting and actionable insights
  • Scalable support as your practice adds providers or locations

Bottom Line:

You didn’t go into gastroenterology to chase down claims, appeal denials, or train billing staff on modifier 33. Let us take that off your plate — so you can focus on patient care and practice growth while we focus on getting you paid every dollar you’ve earned. Whether you’re expanding or managing an existing Gastroenterology in San Jose practice, we help ensure your revenue cycle runs seamlessly.

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