- +1 (773) 985-1869
- info@stream-rcm.com
- 14430 Ocean Point, El Paso, TX 79938
Hepatology practices manage complex liver disease cases from chronic hepatitis to cirrhosis and transplant follow-up where billing accuracy directly affects reimbursement. Our hepatology medical billing company handles claims for liver biopsies, elastography, hepatic function panels and specialty infusions with coding accuracy. Our team understands payer rules unique to liver care that reduce denials tied to medical necessity and prior authorization gaps.
Our hepatology medical billing company focused on liver specialty practices. Our team includes AAPC-certified coders with many years of experience in hepatology billing, denial management, and AR recovery. We handle the complexity of ICD-10 for liver diseases and CPT codes for Fibro Scan, biopsies, and TIPS procedures. We know NCCI edits for liver procedures, POS rules for hospital-based clinics, and modifier 25 nuances for same-day visits. We partner with hepatologists, GI groups, and transplant centers to reduce AR days and appeal denials with care. Practices who partner with us see 30% fewer denials and 22-day faster payment cycles on average. We’re your hepatology billing specialists, committed to your financial health as much as your patients’.
We support billing in every hepatology subspecialty by matching coding accuracy to each condition’s unique documentation, payer requirements and treatment pathway.
We bill chronic hepatitis B and C encounters accurately to coordinate antiviral therapy claims and lab-linked coding so payers recognize ongoing treatment without unnecessary denials or delays.
Our team codes cirrhosis staging, decompensation events and related complications correctly to confirm claims can reflect disease severity and support appropriate reimbursement for complex ongoing management.
We handle MASLD and MASH billing with attention to updated terminology and coding guidance. It helps practices capture revenue as this diagnosis category continues expanding rapidly.
Our team manages pre-transplant workups and post-transplant monitoring claims and aligns documentation with transplant-specific coverage policies that many billing teams misunderstand or overlook entirely.
We code autoimmune hepatitis, primary biliary cholangitis and related disorders precisely to capture the clinical detail payers require for these less common but resource-intensive cases.
Stream RCM provides full-spectrum hepatology medical billing and coding services designed specific to liver specialists.
We analyze every hepatology denial root cause like modifier errors, POS mismatches, missing authorization and fix them before resubmission. We recover 94% of initially denied claims.
Our AR team pursues underpaid hepatology claims within 15 days and also prevents aging buckets to make sure no revenue slips through payer cracks.
We conduct quarterly hepatology coding audits, catching documentation gaps and ensuring CPT/ICD alignment with current NCCI and payer policies.
Our certified hepatology coders assign precise codes for biopsies, ablations and chronic liver visits. We avoid common pitfalls like unbundled imaging or incorrect E/M levels.
We handle CAQH, payer enrollments and revalidations for hepatologists and make sure you’re approved for high-reimbursement procedures and antiviral prescribing..
We post payments daily, reconcile contractual adjustments and identify underpayments specific to hepatology fee schedules and Medicare liver procedure rates.
Partner with our 100% HIPAA-compliant, AAPC-certified hepatology billing team for secure, accurate revenue cycle management.
There are top four reasons of why you should outsource your hepatology medical billing services to Stream RCM:
Stream RCM is an affordable medical billing service provider that offers billing services to medical practices to improve claim submission, denial reduction, compliance, cash flow, practice revenue, with a high success rate of 99.9% first-pass acceptance.
| CPT | Procedure | ICD-10 | Our Billing Approach |
|---|---|---|---|
| 47000 | Percutaneous liver biopsy | K74.60 | We document medical necessity and avoid bundling with imaging unless 47001 is used. |
| 47384 | Irreversible electroporation ablation | C22.0 | We apply 2026’s new code correctly with imaging guidance and tumor count documentation. |
| 47100 | Open wedge biopsy | K76.0 | Our coders ensure global period tracking and correct E/M modifier use for same-day visits. |
| 47380 | Percutaneous RFA ablation | C22.8 | Our experts prevent NCCI conflicts by separating diagnostic imaging and applying correct POS. |
| 47371 | Laparoscopic cryoablation | D13.4 | We code with ultrasound guidance (76940) and validate against payer-specific bundling rules. |
Our expert hepatology coders are fully trained on 2026’s critical CPT updates. It includes new Category I code 47384 for percutaneous irreversible electroporation (IRE) ablation of liver tumors after replacing deleted Category III code 0600T. We guarantee precise documentation of tumor count, imaging guidance, and percutaneous approach to capture full reimbursement without NCCI bundling errors. Our team applies updated laparoscopic liver codes (47370–47379), tracks global period changes and assigns correct modifiers for same-day services. Don’t let coding changes cause denials, partner with a hepatology billing company that adapts before payers do.
We integrate seamlessly with paper charts, scanned PDFs or legacy systems ensuring zero disruption to your daily workflow.
Our authorization specialists secure past approvals for hepatitis C/B antivirals, transplant immunosuppressants and emerging NAFLD therapies before the patient arrives. We submit complete clinical packets upfront, including fibrosis stage, viral load thresholds and previous treatment history by meeting each payer’s specific criteria. Our team follows up daily on pending requests and escalates delays directly to payer medical directors when needed, so that your patients begin treatment without interruption and your practice avoids costly write-offs from denied drug claims.
Hepatology billing faces unique denial triggers that demand accuracy, persistence and dedicated payer communication from specialists and we solve them proactively.
There are some solid reasons providers choose us over competitors. We’re specialty-obsessed, provider-first, and EMR-agnostic.
Our team codes liver procedures daily. This focus means 98% first-pass clean claims and zero “learning curve” denials.
We scrub claims against 2026 NCCI edits and payer-specific liver procedure rules before submission, preventing denials instead of fixing them later.
You see every underpayment we recover, every denial we overturn, and every payment we collect with real-time dashboards and monthly performance reviews.
A provider from a hepatology group in Texas reduced denials from 28% to 9% and cut payment cycles from 45 to 23 days within 6 months of switching to our team.
Yes, we manage billing for inpatient consults, outpatient liver clinics and transplant-related hepatology encounters across multiple care settings.
Most practices see 30–40% denial reduction within 90 days, thanks to our proactive claims scrubbing and hepatology-specific coding audits.
Yes, we secure authorizations for antivirals, immunosuppressants and newer NAFLD therapies before patient visits, preventing 95% of drug-related denials.
Our average payment cycle is 22 days on average, compared to the industry standard of 45+ days. It results in clean claims and aggressive AR follow-up.
Yes, quarterly audits by our AAPC-certified hepatology coders ensure your documentation supports CPT/ICD pairings and avoids NCCI conflicts.
Our billing specialists follow strict confidentiality protocols, handling patient financial and health information with care and professional discretion.
Begin your seamless onboarding process and see your first improved hepatology claims within 7 business days of signup.
