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Deep Knowledge of GI-Specific Billing Needs GI billing is filled with nuances—from colonoscopies to sedation and pathology integration.
| Billing Challenge | QuantumX RCM Solution |
|---|---|
| Screening vs. diagnostic colonoscopy confusion | Claims tagged with Z12.11 (screening) or K63.5 (diagnostic) + supporting symptoms. |
| Modifier -33 missing for ACA preventive services | System flags eligible claims for automatic -33 application. |
| EGD+biopsy unbundling | Ensures 43239 (with biopsy) is billed, not 43235 + 88305. |
| Missing facility fees for ASC procedures | Separate charge capture for facility (e.g., C1713) vs. professional fees. |
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