6,500+ specialty providersVisit-ready
Keep authorization and coverage aligned before the appointment is booked.
Gastroenterology PM & RCM Software
Gastroenterology Practice Management and RCM Billing, Built to Perform
Streamline split-facility fees, preventative screening modifier transitions, and pathology lab results charge triggers. See why gastroenterology practices choose Unlimited Systems for practice management and RCM software.
Why Gastroenterology billing is different
Gastroenterology clinics face intense workflow splits between outpatient clinical consultations, on-site pathology laboratories, and complex Endoscopy/Colonoscopy procedures performed at separate ambulatory surgery centers.
A screening colonoscopy that transitions into a diagnostic procedure (due to microscopic snare polypectomies) must be processed with meticulous modifier sequencing (e.g., -33 or -PT modifiers). Mismatching these codes triggers patient balance errors and hefty Medicare rejections.
6,500+ specialty providersSOC 2 certified
Trusted Payer & EHR Integration Partners
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6,500+
providers nationwide
$70B+
in claims processed annually
4.8/5
average client rating
Designed Around How Your Gastroenterology Practice ACTUALLY Works
Our connected workflows are built to make you and your work easier to do and increase your revenue.
Claim-ready
Validate gastroenterology codes, modifiers, and documentation before submission.
Practice-ready
Give teams one view of denials, margin, and A/R priorities.
Specialty RCM intelligence
Gastroenterology Revenue Cycle Challenges
IBD biologics and infusion services are the fastest-growing revenue risk.
17%
Est. denial rate
8/10
Prior-auth burden
Where revenue is at risk
IBD Biologic Complexity
Remicade, Entyvio, and Stelara require step therapy from steroids or immunomodulators for many payers.
How the platform addresses this
- Native prior authorization integration eliminates manual PA queues.
- Step-therapy history attaches to the request from the clinical record.
- Dose escalation is validated against payer policy.
Buy-and-bill drug reference5 agents · codes, channel, prior-auth, and billing notes
| Drug | Code | Route | Channel | Cost | PA | Billing notes |
|---|---|---|---|---|---|---|
| Entyvio (vedolizumab) | J3380 | IV | Part B | $22K/yr | Yes | Step therapy from Remicade often required. |
| Stelara (ustekinumab) | J3357 | IV then SQ | Part B/D | $55K/yr | Yes | IV induction then SQ maintenance creates channel shift. |
| Remicade (infliximab) | J1745 | IV | Part B | $26K/yr | Yes | Biosimilar substitution rules vary by payer. |
| Skyrizi (risankizumab) | J0222 | IV then SQ | Part B/D | $55K/yr | Yes | Newer IV induction; payer policy evolving. |
| Tysabri (natalizumab) | J2323 | IV | Part B | $59K/yr | Yes (TOUCH) | Crohn's indication; REMS adds burden. |
Cabinet integration: GI infusion suites are growing quickly. Without cabinet-to-EHR integration, manual infusion logs miss administration code add-ons and fail to capture infusion duration accurately for high-value IBD drugs.
AI & Automation for Gastroenterology
Routine gastroenterology work clears itself. Your team sees only what needs their judgment.
- Screening-to-diagnostic colonoscopy reclassification applies automatically from the procedure note.
- Facility and professional fee splits calculate automatically by site of service.
- Anesthesia coding is checked against the documented procedure before submission.
- Work by exception surfaces only the claims with an actual classification conflict.
Hear It From Our Clients
Specialty practices describe, in their own words, what changed after moving to Unlimited Systems.
Video testimonial
Dunmore, Pennsylvania
“As I look back at the transition, the support and the collaboration with the folks at Unlimited really helped make us feel at ease. We had a partner that really wanted us to be successful.”
- CEO
- Days in A/R shrank from 21 to 15, consistently.
- Charges go out the next day.
- Less manual work, more clean claims, and stronger cash flow.
Calculate Your RCM Revenue Leakage
Drag the sliders to estimate how much unrealized cash remains locked in your current specialty billing cycles before optimization.
Model your current claim volume
Adjust both inputs to match your practice.
1,500
200 claims15,000 claims
$250
$80 value$3,500 value
See your recovery estimate
Enter your work email to unlock your estimated annual recovery.
See Your Results ImmediatelyGoogle5/5Gartner5/5G24.8/5
One platform for every gastroenterology workflow
Eight connected capabilities, grouped around the way your practice works.
Front office
Keep registration and appointment calendars in sync.
Before the visit
Verify coverage and catch charge risk early.
Revenue cycle
Post payments, route denials, and prioritize A/R.
Practice intelligence
See margin, performance, and value-based results.
The Gastroenterology suite
Every part of the gastroenterology revenue cycle, in one system
Each module is configured for the codes, modifiers, and payer rules gastroenterology teams work with, not adapted from generic billing software.
Gastroenterology Patient Intake SoftwareValidate primary benefits and capture patient screening waivers prior to clinical check-in.Gastroenterology Scheduling SoftwareSchedule endoscopy rooms, anesthesia specialists, and recovery chairs in unified grids.Gastroenterology Financial Clearance SoftwareCrossverify outpatient indications against local carrier guidelines for biological colitis drugs.Gastroenterology Charge Validation SoftwareEnforce correct -33 and -PT modifier additions based on operative findings and pathology triggers.Gastroenterology Payment Posting SoftwareAutomatically divide and post complex remittances between surgical facilities and physicians.Gastroenterology AR Management SoftwareTrace slide timing margins to appeal denials, matching biopsy specimens and results.Gastroenterology Analytics SoftwareView net yields and profit margins per endoscopist, facility, or CPT grouping.Gastroenterology Value-Based Care SoftwareDeliver clinical data regarding adenoma detection rates to MIPS database grids.
The cost of generic billing
You went into gastroenterology to treat patients, not to chase claims
These are the places gastroenterology practices most often lose revenue when their billing platform wasn’t built for the work. Unlimited Systems closes each one with rules configured for your specialty.
Review your workflowCommon gastroenterology revenue leaks
- Frequent denials on preventative colonoscopy conversions (CPT 45385).
- Undetected loss of pathology facility fee components on secondary biopsy slides.
- Difficulty balancing complex anesthesia timing blocks and concurrency calculations.
- High outstanding accounts receivable on high-frequency in-office infusions.
Challenges we solve for gastroenterology
The work that generic platforms leave to your staff is the work gastroenterology margin actually turns on.
Preventative-to-Diagnostic transitions
Operative note ingestion automatically appends preventative conversion modifiers to clear copay margins.
Professional/ASC Fee Splitting
Single charge entry generates separate professional and facility claims simultaneously.
Anesthesia Time Processing
Extracts exact anesthesia start-stop intervals directly from clinical flowsheets.
Legacy software vs. Unlimited Systems
See why gastroenterology practices move off general-purpose billing platforms.
CRITERIA
LEGACY SYSTEM COMPROMISE
UNLIMITED SYSTEMS VALUE
Preventative-to-Diagnostic transitions
✕Claims get billed as standard diagnostic, causing unexpected patient out-of-pocket balances.
✓Operative note ingestion automatically appends preventative conversion modifiers to clear copay margins.
Professional/ASC Fee Splitting
✕Requires manual input across separate billing screens for clinics and surgical wings.
✓Single charge entry generates separate professional and facility claims simultaneously.
Anesthesia Time Processing
✕Inaccurate timing conversions lead to significant anesthesia billing audits.
✓Extracts exact anesthesia start-stop intervals directly from clinical flowsheets.
Still evaluating
Not Ready to Switch Yet? That's Exactly When to Start the Conversation.
You don't have to be actively replacing your current system to have a useful conversation with Unlimited Systems. Many gastroenterology practices talk with us months before a contract renewal or system evaluation to understand where IBD biologic authorization, infusion room billing, endoscopy coding, and pathology coordination may already be showing up.
A conversation can help surface where IBD biologic step therapy, infusion administration add-ons, endoscopy unbundling risk, and pathology professional/technical splits may be reducing your capture rate.
Less billing work between the visit and payment
Specialty rules and connected data keep your team focused on the exceptions that need judgment.
Verify before the visit
Coverage and authorization stay tied to the order.
Validate specialty charges
Code, unit, and modifier checks happen before filing.
Work the right accounts
Denials and A/R are ranked by value and filing risk.
35%less manual workflow time
One platform
The rest of the platform your gastroenterology practice runs on
The same connected system handles the operational work that sits either side of billing.
Patient Intake
Digital intake, eligibility, and demographic capture before the visit.
Explore Patient IntakePatient Scheduling
Smart calendars and resource scheduling across providers and locations.
Explore Patient SchedulingFinancial Clearance
Automated eligibility checks and prior authorization management.
Explore Financial ClearanceCharge Validation
Pre-claim scrubbing for coding, modifiers, and compliance accuracy.
Explore Charge ValidationBuilt for gastroenterology
Follow one gastroenterology patient from intake to payment
Eight stages, one record. Nothing is rekeyed between systems, so a detail captured at the front desk is still there when the claim goes out, and when the remittance comes back.
Walk the workflow with us- 1Patient Intake for gastroenterologyDigital intake and demographic capture built around gastroenterology visit types.
- 2Patient Scheduling for gastroenterologyCalendars and resources that reflect how gastroenterology appointments actually run.
- 3Financial Clearance for gastroenterologyEligibility and prior authorization resolved before the patient arrives.
- 4Charge Validation for gastroenterologySpecialty scrubbing on codes and modifiers before the claim leaves the building.
- 5Payment Posting for gastroenterologyERA and EOB posting reconciled automatically against what was billed.
- 6AR Management for gastroenterologyWorklists ranked by dollar value, aging, and timely-filing deadline.
- 7Healthcare Analytics for gastroenterologyLive visibility into denials, yield, and performance by provider and procedure.
- 8Value-Based Care for gastroenterologyQuality measures and episode costs tracked under alternative payment models.
Sub-specialties
RCM software for Gastroenterology sub-specialties
Each sub-specialty has its own coding, authorization, and payer rules. See how Unlimited Financials handles yours.
Frequently asked questions
We map outpatient pathology systems directly to charge logs, triggering tissue-block units based on specimen registrations.
New to revenue cycle terminology? Browse our healthcare RCM & billing glossary.
We Love Hearing From Our Users
Practices like yours, on what changed after moving to Unlimited Financials.
“
Rated 5 out of 5
The system continues to grow with features as it should, with how healthcare changes. So, if you are looking for a company that is innovative and truly cares, I would recommend Unlimited Financials.
Ernelita Dacumos
Billing Manager, SHOM
“
Rated 5 out of 5
Unlimited Financials has been the easiest and best practice management system I have used. It is easy to navigate and do what I need to do.
Melissa Shook
Medical Biller, SHOM
“
Rated 5 out of 5
We have been on Unlimited Financials for over three years and love it. Our claims are being processed faster and more efficiently, which means we are receiving payment more quickly.
Renee Bernacchi
Accounts Receivable Coordinator, COAS
“
Rated 5 out of 5
Unlimited Financials has allowed us to extend our workforce in some areas due to the workflow efficiencies and given a better patient experience.
Mel Davies
CFO, Oregon Oncology Specialists
“
Rated 5 out of 5
Knowledge of the patient's coverage has been a game changer. The ability to verify benefits before the patient comes in has saved us on time and denials, so there is no delay in treatment.
Alisha Haslem
Patient Advocate Manager, Utah Cancer Specialists
“
Rated 5 out of 5
Using Unlimited Systems has allowed us to get a much better handle on our AR and claim management.
Erin Wilcher
Executive Director, Commonwealth Cancer Center
“
Rated 5 out of 5
The system continues to grow with features as it should, with how healthcare changes. So, if you are looking for a company that is innovative and truly cares, I would recommend Unlimited Financials.
Ernelita Dacumos
Billing Manager, SHOM
“
Rated 5 out of 5
Unlimited Financials has been the easiest and best practice management system I have used. It is easy to navigate and do what I need to do.
Melissa Shook
Medical Biller, SHOM
“
Rated 5 out of 5
We have been on Unlimited Financials for over three years and love it. Our claims are being processed faster and more efficiently, which means we are receiving payment more quickly.
Renee Bernacchi
Accounts Receivable Coordinator, COAS
“
Rated 5 out of 5
Unlimited Financials has allowed us to extend our workforce in some areas due to the workflow efficiencies and given a better patient experience.
Mel Davies
CFO, Oregon Oncology Specialists
“
Rated 5 out of 5
Knowledge of the patient's coverage has been a game changer. The ability to verify benefits before the patient comes in has saved us on time and denials, so there is no delay in treatment.
Alisha Haslem
Patient Advocate Manager, Utah Cancer Specialists
“
Rated 5 out of 5
Using Unlimited Systems has allowed us to get a much better handle on our AR and claim management.
Erin Wilcher
Executive Director, Commonwealth Cancer Center
Don't Love Your Current RCM Software Provider?
That's putting it nicely based on what we hear every day.
A support line that never picks up. An overseas call center that's never heard of your account. Errors nobody catches until the denial shows up. We're Midwest-based, not offshore, and the team that answers already knows your account. Practices that switch tend to wish they'd done it sooner.
- Located in Cincinnati, Ohio — no offshore call centers
- Founded by healthcare leaders, not tech-bros
- Industry leaders in innovation, technology, and automation
“I would recommend Unlimited Financials to other specialty practices.”
Michelle LeandriCEO, NEPA
“We transitioned to Unlimited Financials in 2024... the team and platform are absolutely amazing.”
GinaAdministrator, FOUR
“We have been on Unlimited Financials for over three years and love it. Our claims are being processed faster and more efficiently, which means we are receiving payment more quickly.”
Renee BernacchiAccounts Receivable Coordinator, COAS
GET STARTED
Optimize Your Specialty Revenue Cycle
Connect with a specialized Gastroenterology RCM expert for a personal workflow walkthrough, and see where your current setup is creating avoidable revenue risk.
6,500+ specialty providersSOC 2 certified