Procedure volume is only the start. Revenue tells the real story.

The problem

Gastroenterology practices derive a significant portion of revenue from endoscopic procedures, but the billing distinction between screening and diagnostic colonoscopies creates ongoing revenue leakage that most GI groups cannot systematically track. When a screening colonoscopy converts to a diagnostic procedure — because a polyp is found — the reimbursement rate, patient cost-sharing, and prior authorization status all change, and the billing adjustment must be made correctly at the time of service or the claim will be denied or under-reimbursed. GI groups also operate across office and ASC settings with different reimbursement structures, and most administrators have no real-time view of procedure volume, revenue by setting, or denial rates by CPT code across the practice.

What we build

Harine Management builds gastroenterology-specific analytics dashboards that track endoscopic procedure volume by CPT code, screening versus diagnostic billing conversion rates, ASC versus office procedure revenue, prior authorization denial rates by payer and CPT code, and gastroenterologist productivity against MGMA benchmarks — connected directly to your EHR and refreshed daily in Power BI. GI group administrators get the revenue intelligence to manage billing accuracy, monitor ASC performance, and catch denial patterns before they compound.

What you get

• Endoscopic procedure volume by CPT code: colonoscopy, EGD, ERCP, and flex sig
• Screening versus diagnostic colonoscopy billing split with conversion rate tracking
• ASC versus office setting procedure revenue comparison by CPT code and physician
• Prior authorization denial rate by payer, CPT code, and procedure setting
• Gastroenterologist wRVU productivity with MGMA gastroenterology specialty benchmarking
• Payer mix by procedure type with Medicare Advantage versus traditional Medicare split

Common questions