● GI & Endoscopy ●
Operating discipline for gastroenterology practices
GI economics run through the endoscopy suite: utilization, screening pipelines, and ancillary capture decide the year. Guidestone brings executive-level management to the business engine behind the scopes.
Sound Familiar?
The scope schedule is the P&L
Empty block time no one measures
Endoscopy capacity is expensive to own and staff. Late cancellations, poor prep completion, and loose template design quietly cost cases every single week.
A screening pipeline left to chance
Colonoscopy screening and surveillance intervals are a recurring-revenue engine — but only if recall tracking actually recaptures patients when they’re due.
Ancillary economics unowned
Pathology, anesthesia, and infusion relationships each carry meaningful margin and meaningful compliance rules. In many practices they were set up years ago and never revisited.
● Two Ways to Engage ●
Same executive expertise. Two engagement models.
Both engagements bring senior healthcare-executive expertise to your GI practice. The difference is the number of hours per week your outside expert is involved — and who executes the plan.
Fractional Executive
We lead it with your team
A COO, CFO, or CEO-level operator embedded in your practice on a weekly cadence — running leadership meetings, working directly with your staff, and owning outcomes. Executive-caliber leadership at roughly 20–30% of the cost of a full-time hire.
Consulting
We build it, you run it
A focused engagement built around analysis and a clear, prioritized roadmap. Often the better value when you already have the leadership in place to execute a well-built plan — project-based, defined scope, defined deliverables.
How We Work
Five steps. Every engagement.
Every engagement — fractional or consulting, any specialty — follows the same five-step operating discipline.
Where We Focus
What we work on inside GI practices
Maximizing the clinical infrastructure you already own — endoscopy capacity, patient pipelines, and the ancillary portfolio around them.
■ Endoscopy utilization
Block templates, open-access screening pathways, prep-completion workflows, and cancellation backfill — run rate measured weekly, not remembered quarterly.
■ Screening & surveillance recall
Systematic recall infrastructure for screening and surveillance intervals — the highest-ROI operational build in gastroenterology.
■ Ancillary portfolio
Pathology, anesthesia, and infusion service economics reviewed for margin, contract terms, and compliance — each line with an owner and a P&L.
■ ASC economics
Utilization, case-cost, and ownership modeling for endoscopy centers — and honest analysis before adding capacity or partners.
■ Revenue cycle for GI
Screening-vs-diagnostic coding accuracy, modifier discipline, denial patterns, and AR management tuned to endoscopy-heavy billing.
■ Capacity & growth planning
Provider recruitment timing, advanced-practice leverage in clinic, and expansion modeling grounded in demand data — not gut feel.
“A GI practice’s most valuable asset isn’t on the balance sheet — it’s the surveillance list nobody is managing.”
Questions
Frequently asked questions
How can a GI practice improve endoscopy utilization?
What is a colonoscopy recall program and why does it matter?
Should our GI group own its endoscopy center?
What does engagement with Guidestone look like for a GI practice?
The Gastroenterology briefing series
Five sourced, data-driven reports on the business of running a GI practice.
How GI practices can deploy nurse practitioners and physician assistants to expand capacity, manage the compensation model.
Gastroenterology ancillary services: pathology, anesthesia, and infusion revenue under the Stark in-office ancillary exception, anti-markup rules.
GI endoscopy center and ASC economics: Medicare payment rates, ASC vs. HOPD rate differentials, cost structure.
Gastroenterology payer contracting strategy and how independent GI practices should evaluate private equity and hospital consolidation offers using a.
Screening colonoscopy Medicare and ACA coverage rules, patient cost-sharing traps, and scheduling capacity strategies for GI practices in 2026.
Book your complimentary discovery call now
Thirty minutes. No pitch. An honest read on where your practice stands.
Free Consultation