Hepatologists deal with complex, chronic conditions such as hepatitis, cirrhosis, fatty liver disease, and liver failure — all of which require long-term care, frequent labs, imaging, and time-based consultations. These cases demand precise coding, accurate documentation, and payer-specific billing strategies to secure full reimbursement.
Hepatology Medical Billing Services
At Smart RCM Solutions, we offer comprehensive hepatology medical billing services that streamline your revenue cycle, reduce claim denials, and allow you to focus on patient outcomes while we manage your revenue.
⚠️ Billing Challenges in Hepatology
Hepatology billing is often complicated by:
📑 Complex ICD-10 codes with multiple comorbidities
🧪 Frequent lab work and bundled service confusion
🧍 Time-based consults and prolonged E/M visits
🔁 Chronic care management (CCM) with strict guidelines
🩸 Procedures like paracentesis or liver biopsy with modifier errors
📄 Payer documentation audits for long-term care claims
Without expert billing support, hepatology practices risk underpayment, delays, or non-compliance with CMS and commercial payer guidelines.
🧾 Our Hepatology Medical Billing Services
✅ Accurate E/M Coding for Chronic Liver Conditions
From early-stage NAFLD to end-stage liver disease, we assign correct codes based on visit complexity, time, and risk factors.
✅ Procedure Coding & Modifier Management
We correctly bill for paracentesis (49083), liver biopsies, and ultrasound-guided procedures using appropriate CPTs and modifiers (e.g., 26, 59, LT/RT).
✅ Chronic Care Management (CCM) & Remote Patient Monitoring (RPM)
We support billing for CPTs 99490, 99439, and RPM codes for long-term liver patients with frequent monitoring.
✅ Lab & Imaging Documentation Support
Ensure proper documentation of labs, FibroScan, MRI elastography, and imaging to avoid bundling errors or rejections.
✅ Prior Authorization & Medical Necessity Support
We verify insurance requirements for high-cost meds (e.g., antivirals, biologics) and procedures needing pre-approval.
✅ Claims Submission, Denial Management & Appeals
We file clean claims within 24 hours and follow up persistently on any denials or underpayments.
🔬 Common CPT Codes in Hepatology Billing
| CPT Code | Description |
|---|---|
| 99214–99215 | Established patient visits (moderate/high) |
| 99490 | Chronic Care Management (20+ minutes/month) |
| 49083 | Paracentesis with imaging guidance |
| 47562 | Laparoscopic cholecystectomy |
| 91200 | Liver elastography (FibroScan) |
| 37241 | Portal vein embolization |
| 99406–99407 | Tobacco cessation counseling |
🏥 Who We Serve
🧬 Independent Hepatologists
🩺 Gastroenterology + Liver Specialty Practices
🏥 Liver Transplant Evaluation Clinics
💊 Hepatitis C Treatment Centers
👨⚕️ Hospital-based Hepatology Departments
💡 Why Choose Smart RCM Solutions?
✅ Trained in Hepatology-Specific Billing
Our team understands how liver care differs from general GI or internal medicine.
✅ Compliant & Audit-Ready Documentation Support
We help ensure each claim is backed by strong documentation for payer audits.
✅ Insurance Expertise Across Payers
We work with Medicare, Medicaid, and commercial payers to maximize your reimbursement.
✅ Integrated With EHRs You Use
We integrate with leading platforms like Athenahealth, eClinicalWorks, AdvancedMD, and more.
✅ Revenue Reports & Denial Insights
Get full visibility into your billing performance and missed revenue opportunities.
🙋 Frequently Asked Questions (FAQs)
Q1. Can you help us bill for both hepatology and GI procedures?
Yes. We work with hybrid GI-Hepatology practices and ensure accurate specialty-level billing for both.
Q2. Do you bill for FibroScan or elastography?
Yes. We bill CPT 91200 and ensure proper ICD-10 linkage and medical necessity documentation.
Q3. How do you handle CCM for liver patients?
We track time, document properly, and submit claims monthly for eligible patients with chronic liver disease.
Q4. Can you help reduce payer audits?
Absolutely. We ensure every claim has the documentation needed to survive audits or record requests.
✅ Ready to Optimize Your Hepatology Billing?
Let Smart RCM Solutions take care of your revenue, so you can focus on improving liver health and quality of life for your patients.
📞 Call Us: +1-725-245-5971
📧 Email: info@smartrcmsolutions.com
🌐 Website: www.SmartRCMSolutions.com