Why GI Practices Are Choosing Everest A/R Management Group in 2026

In 2026, gastroenterology practices are under more financial pressure than ever before. Rising payer scrutiny, shrinking margins, bundled reimbursement rules, and silent underpayments are making it increasingly difficult for GI practices to maintain healthy cash flow.

As a result, forward-thinking gastroenterology groups, endoscopy centers, and hospital-based GI departments are re-evaluating their revenue cycle partners—and many are choosing Everest A/R Management Group.

This shift is not about outsourcing for convenience. It’s about protecting revenue, reducing risk, and gaining control over reimbursement in an increasingly complex billing environment.

The 2026 Reality for Gastroenterology Practices

Gastroenterology is one of the most procedure-driven specialties in healthcare. While this creates strong revenue potential, it also introduces billing challenges that generic billing vendors often fail to manage.

GI practices in 2026 face:

• Screening vs diagnostic colonoscopy confusion

• Polypectomy and biopsy bundling issues

• Modifier-driven reimbursement reductions

• ASC vs hospital site-of-service payment gaps

• Increasing ERCP and EUS audit risk

• Payer automation causing silent underpayments

For many practices, these challenges result in revenue leakage that goes undetected for months—or even years.

Why Traditional Billing Models Are Failing GI Practices

Many GI practices rely on either in-house billing teams or general medical billing companies. In 2026, both models are showing serious limitations.

In-House Billing Challenges

• Limited GI-specific CPT expertise

• Difficulty keeping up with payer policy changes

• Staffing shortages and turnover

• No time for underpayment analysis

• Reactive denial management

Generic Billing Vendors

• Lack of gastroenterology specialization

• Focus on claim volume, not payment accuracy

• No CPT-level contract reconciliation

• Minimal underpayment recovery

GI practices are realizing that billing success is no longer about submitting claims—it’s about ensuring accurate, complete reimbursement.

Why GI Practices Are Choosing Everest A/R Management Group

Everest A/R Management Group stands apart because we are not a generic billing vendor. We are a gastroenterology revenue cycle partner.

Here’s why GI practices are choosing Everest A/R in 2026:

Deep Gastroenterology-Specific Billing Expertise

Everest A/R specializes in high-risk, high-volume GI procedures, including:

• Colonoscopy and screening conversions

• Polypectomy and biopsy combinations

• Upper GI endoscopy (EGD)

• ERCP and EUS procedures

• ASC and hospital-based GI billing

Our team understands GI-specific CPT logic, modifier rules, and payer policies, reducing errors before claims are submitted.

Clean-Claim & Denial Prevention First Approach

Instead of chasing denials after the fact, Everest A/R focuses on preventing denials before submission.

We ensure:

• Accurate screening vs diagnostic classification

• Proper modifier sequencing

• Complete operative documentation

• Authorization alignment with payer rules

This results in higher first-pass acceptance rates and faster reimbursement.

Underpayment Detection That Most Practices Miss

One of the biggest reasons GI practices choose Everest A/R is our ability to identify underpayments hidden in paid claims.

Most billing teams stop once a claim posts as “paid.” Everest A/R goes further by:

• Reconciling paid claims against contracted CPT rates

• Identifying silent short-payments

• Detecting improper bundling reductions

• Correcting site-of-service reimbursement errors

This recovered revenue comes from existing claims, not increased patient volume.

ASC & Hospital-Based GI Billing Expertise

GI reimbursement varies dramatically based on where procedures are performed.

Everest A/R has extensive experience billing for:

• Ambulatory Surgery Centers (ASCs)

• Hospital outpatient departments

• Office-based endoscopy suites

We ensure the correct fee schedule and reimbursement methodology is applied for every location.

Compliance-First Revenue Cycle Management

In 2026, compliance is no longer optional—especially for GI practices performing high-risk procedures.

Everest A/R prioritizes:

• Audit-ready documentation

• Accurate CPT and modifier usage

• Medical necessity alignment

• Defensible appeals

This protects practices from audits while supporting long-term financial stability.

Measurable Financial Results for GI Practices

Gastroenterology practices partnering with Everest A/R typically experience:

5–10% increase in net collections
Lower denial and write-off rates
Reduced days in A/R
Improved CPT-level reimbursement accuracy
Clear visibility into payer performance

These improvements are measurable, transparent, and sustainable.

A True Partnership—Not Just a Vendor Relationship

GI practices choose Everest A/R because we operate as an extension of their practice, not just a billing service.

We provide:

• Dedicated GI billing specialists

• Transparent reporting

• Ongoing performance reviews

• Scalable solutions for growing practices

Our goal is not short-term claim processing—it’s long-term revenue optimization.

Who Everest A/R Is Best Suited For

Everest A/R works best with:

• Independent gastroenterology practices

• Multi-provider GI groups

• Endoscopy centers (ASCs)

• Hospital-affiliated GI departments

• High-volume procedure-based practices

If your practice relies heavily on endoscopy revenue, Everest A/R delivers the specialization you need.

Final Thought: GI Billing in 2026 Requires Specialization

Gastroenterology billing is no longer compatible with one-size-fits-all billing solutions.

In 2026, GI practices need:

• Specialty expertise

• Underpayment recovery

• Compliance protection

• Revenue transparency

That’s why more GI practices are choosing Everest A/R Management Group.