What this page covers

  1. Procedure throughput, bowel prep, and ASC coordination
  2. Endoscopy and IBD biologic prior authorization
  3. How Flexbone runs a gastroenterology practice
Prep-driveninadequate bowel prep is a leading cause of cancelled and repeated colonoscopies
ASC-coupledGI procedures are scheduled into an ASC or endoscopy suite with tight slots
Screening + IBDGI mixes high-volume endoscopy with documentation-heavy IBD biologics

Gastroenterology is a throughput specialty, and bowel prep is where throughput leaks. A colonoscopy slot lost to a patient who prepped incorrectly or did not show is expensive idle endoscopy time. On top of that, screening versus diagnostic coding and IBD biologics add a steady authorization load. Flexbone automates the scheduling, prep, and authorization work that keeps the procedure schedule full and clean.

Procedure throughput, bowel prep, and ASC coordination

The economics of a GI practice run through the endoscopy schedule. Colonoscopy (45378, 45380, 45385), EGD (43235), and ERCP need to be booked, prepped, and completed in tightly scheduled ASC or endoscopy-suite slots. Inadequate bowel prep is a leading cause of cancelled and repeated colonoscopies, so Flexbone runs the multi-touch prep-instruction and adherence calls in the days before the procedure, confirms the appointment and the ride home requirement, and backfills cancellations from a waitlist. It coordinates the ASC schedule so the suite stays full.

Flexbone revenue cycle audit

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Endoscopy and IBD biologic prior authorization

Screening colonoscopy for average-risk adults usually clears without authorization, but diagnostic and surveillance endoscopy, capsule endoscopy, and ERCP commonly require prior authorization, often through eviCore for many plans. IBD biologics such as infliximab, adalimumab, vedolizumab, and ustekinumab require step therapy and detailed documentation. Flexbone determines the requirement, assembles the documentation, submits the authorization, and tracks it to a decision, routing denials to appeal. See the GI and general surgery PA page for procedure detail.

How Flexbone runs a gastroenterology practice

Flexbone deploys voice and browser agents inside gGastro, Provation, or your GI EHR. The front office gets procedure scheduling, prep-adherence calls, confirmation, and ASC coordination. The back office gets eligibility, endoscopy and biologic authorization, and denial follow-up. Results write back to the chart, and exceptions go to staff with context. The rollout is scoped to your procedure mix, ASC, and payers.