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Gastroenterology's Trusted Charge Validation Software

Gastroenterology Charge Validation Software

Automate CPT conversions for screening colonoscopies and split facility fee components.

Audit surgery claims dynamically, applying correct preventative-to-diagnostic modifiers based on microscopic polypectomy findings and pathology feeds.

★★★★★4.8/5G2★★★★★5/5Gartner★★★★★5/5
6,500+ specialty providersSOC 2 certified
Charge validation software in use: a medical coder reviewing clinical documentation against charges
Unlimited Financials charge validation software interface
HOMESPECIALTIESgastroenterologyGastroenterology Charge Validation Software
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What Unlimited Systems Does

Gastroenterology Charge Validation Software for Gastroenterology

Built specifically for Gastroenterology practices, not bolted onto a multi-specialty platform, so every rule matches how your team actually gets paid.

Specialty-tuned accuracy

Coding and prior-auth logic tuned to Gastroenterology catches problems before claims go out.

Faster, fuller payment

Automated charge capture and posting speed up cash flow and recover dollars you're leaving on the table.

Work by exception

Automation clears the routine work so your team only touches the claims that need a human.

One system of record

Scheduling, clinical, and financial data live in one place, for a single real-time view of performance.

Deep Dive: System Capabilities & Specialized Workflows

Preventative screening procedures in gastroenterology often result in same-day procedural findings, such as snare polypectomies. If billing teams fail to sequence proper modifiers (such as -33 or Medicare -PT), the claim gets processed under standard deductible rules. This triggers unexpected patient out-of-pocket bills, leading to payment friction. Our Split Scrubber extracts clinical logs automatically to apply correct modifiers and split commercial fees across ASC facilities and professional physicians.

Configured Automation Highlights

  • Automatic appending of -33 or -PT modifiers based on specimen retrieval flags.
  • Direct matching of anesthesia concurrency factors and CPT timing units.
  • Simulation-checks verifying payer guidelines across Medicare and commercial plans.
  • Immediate Generation of dual CMS-1500 and UB-04 claim forms.

Direct Comparison

Polypectomy Conversions
✕Legacy: Billers manually check surgical records to append -33 modifiers, missing thousands.
✓Unlimited: Integration auto-flags specimen results, appending the modifier pre-filing.
Split Facility Billings
✕Legacy: Siloed billing screens require double manual data entries for surgery centers and clinics.
✓Unlimited: Unified entry generates both claims simultaneously with coordinated diagnostics.
WORKFLOW REVIEW

Review the module against your payer mix and current team handoffs.

MODULE FAQS & COMPLIANCE

Frequently Asked Questions

Hear It From Our Clients

Specialty practices describe, in their own words, what changed after moving to Unlimited Systems.

A specialty practice client of 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.
Read the full case study

We Love Hearing From Our Users

Using our product doesn't just mean quality software, but also access to a community to keep you connected to your peers and to your product team.

★★★★★4.8/5G2
★★★★★5/5Gartner
“

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
“

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
“

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
“

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
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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
“

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

GET STARTED

Your specialty isn't generic. Your software shouldn't be either.

Walk through your specialty's exact billing workflows with an RCM expert who already knows your codes, modifiers, and payer rules.

★★★★★4.8/5G2★★★★★5/5Gartner★★★★★5/5
6,500+ specialty providersSOC 2 certified