Gastrointestinal
& Hepatology
Reimbursement

General reimbursement and coverage questions

• Understand payer policy and pre-requisite requirements for the health plans you work with most to support timely prior authorization and limit claims processing errors.

Reimbursement and coding tools

• Billing and Coding Guidelines outline procedural coding by site of service. Find answers to your questions related to modifiers, site of care limitations, and other common procedural questions.
• Patient Selection Tools provide diagnostic coding support to help providers ensure necessary documentation is included in the medical record. These tools may also serve as an aid for prior authorization or pre-determination, when required by the payer.

Education and training

• Schedule a training session to learn about coding, coverage, or reimbursement for any product in our GIH portfolio.
• Contact us for real-time support needs when you have a question.