Gastroenterology prior authorization has always been a time consuming and frustrating task for many, especially for its intricate nature and diverse principles.
Intended to maintain care standards for the patient suffering from gastroenterology problems and improve safety and regulate costs, gastroenterology prior authorization today has become a cumbersome process that is difficult to navigate. Extended to multiple services and procedures by insurers and more new CPT® codes; today without the right resources operating gastroenterology prior authorization is creating confusion and errors.
In fact, here are few common gastroenterology codes that require prior authorization and are often mistaken are-
43239 – Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with biopsy, single or multiple
99204 – Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making and 99214 is for an established patient.
45380-Colonoscopy, flexible; with biopsy, single or multiple and code 45385 is however used for colonoscopy as well but with polypectomy; all these can be confusing at times for many.
As here the authorization process involves a lot of requirements, codes and verifications, many healthcare practices today prefer to rely on prior authorization experts to get the job done.
This is why expert like Sunknowledge is here to help.
Sunknowledge guidance for gastroenterology prior authorization:
Taking care of the complete prior authorization for more than 15+ for many leading names, Sunknowledge today is the only RCM destination with high expertise in authorization solutions. Managing authorization initiation, approval and follow up, partnering with Sunknowledge gives you access to dedicated resources anytime taking care of your complete gastroenterology pre authorization at only $7/hour. With professional prior authorization expert ensuring the fastest turnaround time within 24 hr, our experts not only ensures better authorization operation with 100% authorization submission on the same day but improves the authorization rate as well.
With certified codes and authorization specialists dedicated working every day on new codes, authorization regulations and requirements, we further reduce your chances of any kind of pre authorization errors. Following the right checks and balances and ensuring a 99.9% accuracy rate, we assure faster claims and reimbursement.
So what are you waiting for? Troubled by the complex gastroenterology codes and prior authorization complications, we are here to help.
Sunknowledge Services Inc. – an ISO 27001:2022 certified, American-owned & operated company, headquartered in New York City – is a leading global provider of Business and Knowledge Process Outsourcing services in the US healthcare domain.
