What Gastroenterologists Need to Know About Telehealth

Many gastroenterologists now realize the advantages that telehealth can have for their practice. In fact, it wouldn’t be wrong to say that telehealth services are completely revolutionizing healthcare for patients, medical professionals, and GI specialists. However, gastroenterologists will also need to complement their telehealth services with the right medical billing and revenue cycle management services.

 

Keeping in mind how important telehealth and specialized medical billing is as an investment for increasing revenue for Gastroenterologists, here are some things that GI specialists need to know about telehealth.


Why You Need a Professional Medical Billing Service?

Telemedicine appointments are still subject to standard Medicare copays and deductibles, although there is some flexibility. It should be noted that health providers will be able to waive or decrease cost-sharing for telehealth appointments during the pandemic. On the other hand, beneficiaries are still responsible for cost-sharing for these services if the practitioner does not waive cost-sharing.

 

The term “patient copay” generally includes deductibles, coinsurance, copayments, and other similar charges. However, gastroenterologists will need the right support when it comes to processing these payments and ensure HIPAA Compliance is met. This is where professional GI practitioner-only medical billing services come in. 

 

Lowered Cost

Another major benefit of opting for telehealth is the significantly lowered cost. While patients get to benefit by getting access to GI specialists, which can otherwise be expensive if making a traditional appointment, telehealth makes it possible to consult with the best GI specialists without having to visit the doctor in person. This not only helps cut the costs for a patient but also for the gastroenterologists since it helps them save time and see more patients during the day. In this way, leveraging telehealth with the right medical billing and revenue cycle management ensures that gastroenterologists are able to provide the best service and increase their revenue.

 

Improves Medical Access

As mentioned, telehealth can improve medical access for patients, especially those who live in remote places or are unable to commute to and from the hospital or doctor’s clinic. For example, living in the country has many advantages, but quick access to medical care isn’t necessarily one of them. Telemedicine allows patients who live a long distance from a medical institution to consult with a doctor promptly.

 

When driving conditions are less than ideal, such as during a snowfall, this saves them a lot of time and permits people to stay off the road. In this way, telehealth also ensures that those people who can’t physically travel to see a gastroenterologist get the right medical attention they need and get access to a GI professional with ease before their condition gets worse.

GI Doctors Get to Stay in their Clinic

Another major benefit that’s been made possible by telehealth and technology is that GI doctors no longer have to visit patients physically. This can be even more difficult during a pandemic, which is why it is recommended to use virtual appointments to treat patients in the comfort of their homes. Another advantage of telehealth is that it allows GI doctors to connect with their patients even after hours or during weekends in case of an emergency.

 

New symptoms and health issues can all be diagnosed by at-home monitoring systems that send information to medical experts. This can assist patients in receiving timely interventions, which could save their lives.

Lowers Medical Overhead Costs

For GI doctors, telehealth helps reduce office costs, such as front-desk attendants and accounting and payment processing staff. Gastroenterologists can easily hire professional medical billing and revenue cycle management services to help streamline the entire process while at the same time lowering the costs of having to hire an in-house team.

 

During the PHE, hospitals and a variety of providers, such as doctors, nurse practitioners, clinical psychologists, nutritionists, and licensed social workers, may offer telemedicine. Many governors have reduced licensure and other state telehealth regulations as part of COVID-19 emergency declarations. However, encouraging patients to seek medical care remotely and improving digital literacy has become a real challenge that’s faced by many healthcare professionals, especially GI doctors. That being said, with the right equipment and support, gastroenterologists can ensure that they are able to provide a superior service to their patients.

 

Because of overburdened healthcare systems, endoscopy units were used as COVID-19 units, resulting in widespread delays and an expanding backlog of elective cases. As a result, healthcare providers were obliged to communicate with patients via telemedicine.

 

For Gastroenterologists, this can be quite the challenge when it comes to processing payments, which is why it is recommended to use a professional medical billing and revenue cycle management service that follows HIPAA Compliance to ensure that all payments are streamlined. The need for specialized medical billing services for gastroenterologists has been called for mainly because of the fact that telemedicine has been expanded to cover patients with abdominal discomfort, colorectal cancer (CRC) screening, abnormal liver tests, GI hemorrhage, and liver transplant recipients, among other GI interactions. With a significant increase in the number of patients looking for the right medical care, gastroenterologists today need all the help they can get when it comes to medical bill processing and revenue management.

Ending Note

Telehealth services, both audio-only and interactive audio and video, can be given for any purpose, whether or not the telehealth service is connected to the diagnosis and treatment of COVID-19-related health problems. In the case of violation of the regulatory standards under (HIPAA) during the PHE, no penalties will be applied to physicians who use telemedicine.

 

JBF Medical Billing LLC. has been serving gastroenterologists since 2013. In short, we are a done-for-you billing service that can be customized according to your specific requirements. Our medical billing software can be easily integrated with existing electronic health records (EHR) for physicians. JBF Medical Billing is a proud member of the American Gastroenterological Association (AGA), the American Association of Healthcare Administrative Management (AAHAM), and the American Medical Billing Association (AMBA).

Billing\Insurance Frequently Asked Questions

Gastroenterologists are doctors who specialize in the diagnosis and treatment of gastrointestinal (GI) and liver disorders. These specialists also perform routine procedures such as colonoscopies. The Affordable Care Act mandates that some preventative treatments, such as colonoscopies, be covered by insurance coverage at no cost to the patient.

 

One of the reasons why GI billing and revenue cycle management are recommended is because medical billing and Revenue Cycle Management, as well as cloud-based technological assistance, benefit both practice-based and hospital-based gastroenterologists, ensuring seamless integration.


Q. What Does a Gastroenterology Billing Service Offer?

A. Some of the expertise that professional GI billing services provide include, but aren’t limited to, back-end billing support, bill insurances, and patient billing. Other services include submitting insurance claims, claims follow-up, and full-practice management with a goal to help gastroenterologists increase their revenue. JBF Medical Billing using the latest technologies, including cloud-based practice management software and electronic health records.

Q. Why JBF Medical Billing?

A. JBF Medical Billing specializes in medical billing and revenue cycle management services specifically for Gastroenterologists. JBF Medical Billing has worked closely with a wide range of medical specialties, creating customized, HIPAA-approved services from the bottom up. We offer a fully functional billing service that has demonstrated effectiveness in assisting our clients in becoming more lucrative while removing the stress of managing an in-house billing department. Besides that, we understand how difficult GI medical billing can be, such as billing a colonoscopy with the advancement beyond the splenic flexure.

Q. Why Choose a GI-Only Billing Service?

A. It is important for a gastroenterologist (GI) to accept that fee schedules and other factors are in constant flux. This makes it extremely difficult for regular run-of-the-mill, multi-disciplinary billing services to keep track of the constant changes and ensure that they provide accurate GI billing services that follow HIPAA Compliance rules and regulations. Since JBF Medical Billing provides services exclusively to gastroenterologists, you can rest assured that you will be getting the highest level of expertise and accuracy when using our specialized GI billing services.

Q. Why Outsource to Medical Billing Experts?

A. One of the main reasons it is advised to outsource to medical billing experts is that we bring a level of knowledge, expertise, and transparency that is unmatched when it comes to GI billing services, revenue cycle management, and ensuring the correct diagnostic and procedure coding gastroenterology.

 

Q. What Are the Other Services Provided by a GI Billing Service?

A. At the end of each month, you’ll receive a choice of reports based on the information you want to analyze, such as account activity and aging. As needed, customized reports can be created. It is recommended to hold a monthly meeting to go through the previous month’s collections in detail and compare them to the current month’s collections so you can spot patterns and assess your practice’s success.

 

Q. What is the Billing Procedure?

A. Our billing experts will generate the bill straight from the EMR software you use, verify the claim, ensure there are no errors, and make the submission to the insurance provider via a billing clearinghouse. In short, our services ensure that the entire billing procedure is streamlined and optimized for revenue growth.

 

Q. What Happens When Claims are Denied?

A. JBF Medical Billing makes sure all the information is complete and accurate to increase the chances of getting paid by the insurance company. However, if, for some reason, a claim is denied, our experts will identify the reason behind the denial and make the necessary changes to the claim documentation and resubmit the claim. If required, we can also make an appeal to the insurance provider to ensure that you get paid.

 

Q. How Will My Practice Get Paid?

A. We do not receive any payments from insurance companies. This is what separates our service from the rest. We are here to facilitate you during the process. This means your practice will receive any payments that are due directly from the insurance provider. Our billing services ensure that the whole process is carried out hassle-free so that you get your payments on time.

 

Q. Is it Going to Be Difficult to Make the Switch from My Current Billing Service Provider to JBF Medical Billing?

A. It doesn’t really matter whether you have been using your current billing service for a long time or have just started with their service; you can easily switch to JBF Medical Billing whenever you choose to. We have an entire team of dedicated support staff that are here to help guide you through the setup process. We are going to be with you every step of the way to ensure a smooth and hassle-free transition. To get the process started, all you have to do is visit our website and take a few minutes to fill out the client registration form, and our representative will contact you shortly.

 

Q. Licensing and Certifications

A. This is another crucial factor to consider when choosing a medical billing and collection company. That’s because, in many states, these services are governed by the State Banking Commissions and other government agencies that are charged with licensing and carrying out compliance audits. JBF Medical Billing is a proud member of the American Gastroenterological Association (AGA), the American Association of Healthcare Administrative Management (AAHAM), and the American Medical Billing Association (AMBA).

 

Ending Note

JBF Medical Billing provides professional medical billing services. What sets us apart is that we offer our expertise exclusively to gastroenterologists and related fields. In short, we are a done-for-you billing service that can be customized according to your specific requirements. JBF Medical Billing LLC. has been serving gastroenterologists since 2013. Our medical billing software can be easily integrated with existing electronic health records (EHR) for physicians. JBF Medical Billing is a proud member of the American Gastroenterological Association (AGA), the American Association of Healthcare Administrative Management (AAHAM), and the American Medical Billing Association (AMBA). 

Electronic Coordination of Benefits for Fast Reimbursement

Coordination of benefits in Medicare has been a benefit. Medicare does cross over. When a patient has secondary insurance Medicare as primary insurance will make payments then update the patient’s records. Going forward Medicare submits the adjusted report or correspondence along with the claim to the secondary insurance. The reports or EOB (Explanation of Benefits) show what Medicare has paid but also the patient’s responsibility. This crossover process from Medicare occurs electronically which makes it a seamless process. It saves time for JBF medical billing to do all the Gastroenterologist’ patient data entry from one report to another report or billing system. Entering information from manual paper reports is a thing of the past and electronic crossover involved in the billing process made our Gastroenterologists claims payments faster