Medical Billing · Nationwide
Endoscopy-driven billing where screening-vs-diagnostic logic and modifier rules separate paid claims from denials.
Aethera Healthcare Solutions provides full-service medical billing and revenue cycle management to gastroenterology practices across the United States. We handle coding, claims, payment posting, denial management, and A/R follow-up end to end — so your team can stay focused on patient care while your revenue cycle runs cleanly.
Typical gastroenterology CPT range we work: 43180–43285, 45300–45398, 99202–99215.
Screening vs. diagnostic colonoscopy (and modifier 33/PT) is a constant denial source
Multiple-endoscopy payment rules reduce reimbursement when not coded correctly
Anesthesia and facility coordination adds COB and bundling complexity
Polypectomy technique codes must match the documented procedure
Specialty-trained coders (CPC/CCS) code to the documentation
First-pass claim scrubbing against payer and NCCI edits
Proactive denial prevention and 72-hour denial work
Relentless A/R follow-up to drive days-in-A/R down
Eligibility and prior-auth verification before service
Transparent, real-time reporting in the provider portal
Use these any time — no login required.
How do you handle screening vs. diagnostic colonoscopy?
We apply modifier 33/PT correctly based on intent and findings so a screening that becomes diagnostic is billed in a way that preserves the patient benefit and payment.
Do you manage multiple-endoscopy reductions?
Yes — we sequence endoscopy codes correctly so the multiple-procedure reduction is applied accurately and you are not underpaid or denied.