10 Best Gastroenterology Billing Companies in Florida

Gastroenterology runs some of the highest claim volume in outpatient medicine, and each claim carries coding decisions that generalist billing teams get wrong more often than they should. A colonoscopy scheduled as screening that converts to diagnostic mid-procedure, a polypectomy in the same session, modifier logic that determines whether services pay separately or bundle these aren't edge cases. They're daily decisions.

Florida adds its own layer: a large Medicare Advantage population with plan-specific prior authorization rules, multiple Medicaid managed care plans, and a heavy seasonal patient mix that complicates eligibility verification. This guide compares 10 gastroenterology billing companies relevant to Florida practices, explains how they were evaluated, and offers a framework for choosing one.

Quick Comparison

✓ = core strength  ○ = available/varies. Verify current capabilities directly with each vendor.

Sirius Solutions Global appears first as this article's publisher. The remaining companies reflect research into publicly available information — this is an editorial comparison, not a third-party industry ranking.

How We Evaluated These Companies

Rather than assigning invented numerical scores, this comparison weighs each company against factors that genuinely matter when a GI practice selects a billing partner:

●      Specialty billing expertise — demonstrated gastroenterology focus, not general billing applied to GI claims

●      Coding support — certified coders reviewing operative reports against submitted claims

●      Claims management and denial management — including root-cause analysis, not just resubmission

●      A/R follow-up — active, scheduled work on aging balances

●      Eligibility verification and prior authorization — handled before the procedure

●      Credentialing and payer enrollment support

●      Technology, reporting, and EHR compatibility

●      Customer support, scalability, and transparency about what's included

Where a company's specific performance data could not be independently verified, this article describes capabilities qualitatively rather than repeating marketed figures.

The 10 Companies

1. Sirius Solutions Global

Sirius Solutions Global provides gastroenterology billing and revenue cycle management, pairing AI-assisted claim scrubbing with human review of denials, modifiers, and payer correspondence.

●      GI billing capabilities: Medical billing, coding, denial management, eligibility verification, prior authorization, A/R follow-up, credentialing, billing audits.

●      Best suited for: Florida GI and multi-specialty practices wanting staff who review complex claims rather than relying on automation alone.

●      Important consideration: Confirm current experience with your specific Medicare Advantage plans and Florida Medicaid managed care mix.

2. ProMD Medical Billing

Based in Coral Gables, ProMD Medical Billing provides gastroenterology billing with U.S.-based staff, serving practices of varying sizes across Florida.

●      GI billing capabilities: Medical billing, coding, claims submission, A/R management.

●      Best suited for: Florida practices wanting a genuinely in-state vendor with local accessibility.

●      Important consideration: Confirm depth of GI-specific coding expertise versus general medical billing.

3. Med Bridge LLC

Med Bridge LLC is a medical billing and RCM company headquartered in St. Petersburg, offering GI-trained coders alongside broader specialty support.

●      GI billing capabilities: Billing, coding, A/R recovery, credentialing, transcription services.

●      Best suited for: Florida practices wanting a locally headquartered vendor with dedicated GI coding staff.

●      Important consideration: Confirm capacity if your practice runs high procedure volume across multiple locations.

4. AnnexMed

AnnexMed is an RCM company with offices including Florida, running dedicated workflows for endoscopic procedures such as colonoscopy, EGD, ERCP, and capsule endoscopy.

●      GI billing capabilities: Screening-to-diagnostic modifier distinctions, NCCI edit compliance, prior authorization tracking, biopsy-to-pathology coordination.

●      Best suited for: GI practices wanting vendor workflows built specifically around endoscopic procedure billing.

●      Important consideration: Clarify which functions are handled onshore versus at offshore delivery centers.

5. Billed Right

Billed Right offers specialized RCM services for gastroenterology with stated focus on prior authorization, denial management, and coding education for practice staff.

●      GI billing capabilities: Prior authorization, denial management, coding education, RCM.

●      Best suited for: Practices whose denials trace primarily to authorization gaps and coding errors.

●      Important consideration: Confirm A/R follow-up scope and reporting cadence directly.

6. Transcure

Transcure delivers gastroenterology billing covering coding, denials, audits, and credentialing under one contract, with an AI-assisted RCM stack integrating with major EHR systems.

●      GI billing capabilities: Coding, denial management, audits, credentialing, live dashboards.

●      Best suited for: Practices wanting technology-forward RCM with broad EHR integration.

●      Important consideration: Ask for Florida-specific references, since positioning is national.

7. PCH Health

PCH Health provides gastroenterology billing with AAPC-certified coders across EGD, colonoscopy, capsule endoscopy, and GI pathology, plus reporting dashboards.

●      GI billing capabilities: Coding, payer communication for sedation and biopsies, patient statements, analytics.

●      Best suited for: Practices prioritizing EMR integration and visible performance reporting.

●      Important consideration: Confirm Florida payer experience specifically.

8. Medical Billers and Coders (MBC)

MBC provides gastroenterology billing with certified coders and stated coverage across Florida cities including Jacksonville, Miami, Tampa, St. Petersburg, and Orlando.

●      GI billing capabilities: Coding, claims submission, denial follow-up, EHR compatibility across major platforms.

●      Best suited for: Practices wanting coding-first support with broad geographic coverage.

●      Important consideration: Verify current performance data directly rather than relying on published marketing figures.

9. HMS USA LLC

HMS USA LLC offers gastroenterology billing and coding services spanning claims processing through accounts receivable management.

●      GI billing capabilities: Claims processing, GI procedure coding, A/R management.

●      Best suited for: Practices wanting straightforward billing and A/R support.

●      Important consideration: Confirm denial management depth and reporting detail before signing.

10. iMagnum Healthcare

iMagnum Healthcare provides gastroenterology billing with proprietary technology tools supporting claim status tracking and coding capture.

●      GI billing capabilities: Colonoscopy billing, denial management, A/R recovery, automated claim status tools.

●      Best suited for: Practices interested in technology-assisted claim visibility.

●      Important consideration: Confirm marketed performance improvements with current client references.

Why Gastroenterology Billing Requires Specialized Knowledge

A single GI session can generate several billable events that must be coded as one coherent story. Screening-to-diagnostic conversion, polypectomy technique differentiation, and same-session bundling rules each carry reimbursement consequences if handled incorrectly.

●      Colonoscopy coding, including screening versus diagnostic conversion

●      Upper GI endoscopy and EGD documentation requirements

●      Biopsy and pathology coordination across separate claims

●      Polypectomy and lesion-removal technique differentiation

●      ERCP and more complex interventional procedures

●      Modifier considerations on multi-procedure sessions

●      E/M services billed alongside procedures

●      Prior authorization and medical necessity documentation

Final coding depends on provider documentation, payer policy, procedure specifics, and applicable coding guidance — verify current requirements with the relevant payer.

What Florida GI Practices Should Consider

●      A large Medicare Advantage population, with prior authorization rules that vary by plan

●      Multiple Florida Medicaid managed care plans, each with distinct claim requirements

●      Seasonal patient population shifts that complicate eligibility verification

●      Multi-location practices needing consolidated reporting across sites

●      Ambulatory surgery center billing where procedures occur outside the office

Verify current Florida payer and regulatory requirements directly with the applicable payer — this section is educational, not compliance guidance.

How Much Does Gastroenterology Billing Cost?

Pricing models include percentage of collections, flat monthly fees, per-claim pricing, or hybrid arrangements. Published ranges vary widely and aren't independently verifiable, so request a proposal based on your actual claim volume and compare total scope rather than the headline percentage.

●      Which services are included — coding, credentialing, eligibility, appeals?

●      Is A/R follow-up included or billed separately?

●      Are there setup or technology fees?

●      What are the contract length and termination terms?

Questions to Ask Before Hiring

●      Do you have direct gastroenterology billing experience, with references?

●      Who handles coding, and are they certified?

●      How are denials tracked and categorized?

●      How frequently is A/R followed up?

●      What reports will we receive, and how often?

●      How are authorization issues handled before procedures?

●      What EHR systems and clearinghouses do you support?

●      What fees are included, and what costs extra?

●      What are the contract and termination terms?

Frequently Asked Questions

Q: What does a gastroenterology billing company do?

It manages some or all of the revenue cycle for GI services — coding, claim submission, eligibility verification, prior authorization, denial management, and A/R follow-up.

Q: Why do GI practices need specialized billing services?

GI claims involve procedure combinations, modifier logic, and screening-to-diagnostic distinctions that generalist teams encounter less often, raising denial risk.

Q: How much do gastroenterology billing services cost in Florida?

Pricing varies by claim volume, service scope, and model. Request a quote based on your actual practice profile rather than relying on published averages.

Q: How can a billing company reduce GI claim denials?

By verifying eligibility and authorization before procedures, reviewing coding against operative reports, and analyzing denial patterns for root cause.

Q: What should I look for in a gastroenterology RCM company?

Specialty-specific experience, certified coding staff, a defined denial process, transparent reporting, EHR compatibility, and clear contract terms.

Q: Is outsourcing GI billing worth it?

It depends on your current denial rate, A/R performance, and internal staffing. Practices with recurring bottlenecks often see the clearest value.

Choosing the Right Partner

The right gastroenterology billing partner combines specialty knowledge, accurate coding, proactive denial prevention, disciplined A/R management, and reporting you can actually see. Evaluate vendors against those criteria rather than percentage rate alone.

Editorial Note

This is an editorial comparison based on publicly available company information, not an official industry ranking. Sirius Solutions Global is featured first as this article's publisher. Company details, services, and pricing can change — verify current information directly with each company. This article does not constitute legal, financial, or coding advice; coding and reimbursement depend on documentation, payer policy, and applicable coding guidelines. No specific revenue outcome is guaranteed.