Primary Denial Drivers in Gastroenterology & Endoscopy
01. Modifier 33 / PT preventive waiver misinterpretation
02. Polypectomy bundling during screening
03. Pathology specimen cross-referencing
Operational Friction Points:
- Payers improperly converting preventive encounters into cost-sharing denials
- High endoscopy center facility fee leakage
How RecoupOps Recovers Gastroenterology & Endoscopy Claims
Enforces ACA Section 2713 preventive coverage mandates in appeal letters
Automates pathology report matching to endoscopic procedural codes
Verifies correct modifier 33 application across all commercial payers
Verified Impact Highlight
14 GI Physicians & 2 Endoscopy Centers
Recovered Cash:
$940K recovered in 12 months
Write-Off Reduction:
64% reduction in preventive claim denials
Zero Long-Term Contracts · Instant 835 Ingest
Recover denied Gastroenterology & Endoscopy claims automatically.
Connect one month of remittances to see your practice's exact recoverable revenue breakdown.
HIPAA BAA on Every Plan Live in Under 48 Hours 14-Day Full Production Sandbox