GI billing gets complicated quickly. A screening turns diagnostic. A polyp comes out. The technique changes the code. The professional and facility sides need to land in the right place.
VeroRCM manages gastroenterology billing for independent practices that want to keep eClinicalWorks and get closer oversight of every procedure claim.
Your physicians keep documenting in eCW. Your staff keeps scheduling procedures and checking in patients the way they do today.
What changes is the billing work after the encounter: reviewing procedure claims before they go out, working denials, following up on A/R, and checking that what was paid matches what should have been paid.
For more on keeping your EHR while changing billing, see eClinicalWorks medical billing.
What was scheduled, why the procedure was done, and what was found all affect how a colonoscopy should be billed.
Getting it wrong can create a denial, or an unexpected bill for a patient who thought their screening was covered.
We review the documented intent and findings so the claim reflects what actually happened.
Snare, forceps, ablation, and other techniques can carry different coding implications.
We bill based on what the procedure note supports, not what was expected before the procedure.
Procedures done in an ASC or hospital outpatient department involve professional and facility billing, and the place of service has to be right.
We manage the professional claim based on the documented place of service and the work performed.
Who provided sedation, and what is documented, can change how that part of the encounter is billed and whether it is paid.
ERCP, EUS, and other advanced procedures bring extra documentation, coding, and bundling considerations.
The claim should match what actually happened in the room.
Screening versus diagnostic intent, medical necessity, authorization, documentation, and coding issues are the usual causes.
We work the denial and look for the pattern behind it.
These are harder to see because the payer sent money. It just may not be the right amount, especially when multiple procedures happen in the same session.
Procedure claims that are not resolved quickly start to pile up.
We prioritize A/R by value, payer status, and deadlines, not just age.
Monthly collections do not show you:
Vero gives your practice a clearer view of the work that still needs attention.
Vero uses technology to flag at-risk claims, recurring denials, and payments that look off.
Technology helps us surface what deserves attention. Experienced billing professionals review the findings and do the actual work.
VeroRCM is an independent medical billing and revenue cycle management company. We are not eClinicalWorks and are not affiliated with eClinicalWorks' own revenue cycle services.
You can keep eCW and still choose a different billing partner.
Yes.
Your documentation, scheduling, and front-office workflows stay in eCW. Vero manages the revenue cycle around them.
Yes.
Your physicians and staff can continue using eClinicalWorks for documentation, scheduling, and procedure workflows. Vero manages the revenue-cycle work around that existing setup, including claim review, denials, payments, A/R, and underpayment review.
Yes, including cases where a screening becomes diagnostic or a polyp is removed.
We bill based on the documented intent and findings.
Yes.
We handle the professional claims for procedures performed in the office, ASC, or hospital outpatient setting, based on the documented place of service.
Yes, where reimbursement information is available.
Multi-procedure sessions are a common place for short-pays to hide.
No.
The Free Revenue Leak Audit reviews your existing data first.
If you already have a billing company, that is fine.
Our Free Revenue Leak Audit gives you another view of your claims and points out anything worth investigating.