What Is the ACG and Jiro Practice Intelligence Partnership?
As of September 29, 2026, the American College of Gastroenterology (ACG) announced a content agreement with Jiro Health, a practice intelligence platform that uses real-world practice data to surface clinical, operational, and financial insights for individual gastroenterologists. The partnership brings ACG guidelines and journal content into Jiro’s platform, connecting evidence-based guidance to the reimbursement patterns, denial trends, and coding opportunities that each GI practice actually encounters in its claims data.
What Jiro does: Jiro analyzes real-world practice data to identify referral patterns, reimbursement gaps, denial trends, and coding opportunities specific to each clinician, benchmarked against peers.
Why it matters for billing: The platform’s financial intelligence layer surfaces underpayments and coding gaps that would otherwise require manual claim-by-claim review, which is the same work a strong billing partner performs but delivered through automated analytics.
What this signals: Practice intelligence platforms are creating a new standard for how GI practices monitor revenue performance, and practices that do not use analytics of this caliber, whether through a platform or a billing partner, are increasingly operating at a disadvantage.
What ACG and Jiro Announced
On September 29, 2026, Jiro Health issued a press release announcing a content agreement with ACG. Under the agreement, ACG clinical guidelines and journal content from The American Journal of Gastroenterology will be integrated into Jiro’s practice intelligence platform. Jiro will use real-world practice data to surface the ACG evidence most relevant to each gastroenterologist based on the patients they treat, the procedures they perform, and the clinical questions they encounter.
ACG President William D. Chey, MD, MACG, stated that ACG is committed to helping clinicians apply its trusted clinical guidance to the realities of everyday GI practice. Jiro is a public benefit corporation that launched its platform on July 28, 2026, and already integrates content from NEJM Group and ASCO’s JCO family of journals. The platform is HIPAA compliant, SOC 2 certified, offers accredited CME, and is free for verified clinicians in the United States.
For gastroenterology practices, the announcement is significant because it connects the clinical evidence that governs how procedures should be performed and documented to the financial data that shows how those procedures are actually being reimbursed. That connection is where billing optimization begins.
What Does Practice Intelligence Mean for GI Billing?
Practice intelligence platforms like Jiro analyze claims data, reimbursement records, and coding patterns across a practice and benchmark them against peers. For a GI practice, this means the platform can identify when a specific payer is underpaying a colonoscopy code relative to the contracted rate, when denial rates for a particular CPT code are trending upward, or when the practice is consistently missing add-on codes or modifiers that other GI practices in the same market are capturing.
In our experience matching GI providers with billing partners, the revenue problems that cost practices the most are the ones nobody notices. An underpayment of $15 on every screening colonoscopy claim is invisible on a single remittance but adds up to thousands of dollars per quarter. A modifier PT that gets left off 20% of screening-to-diagnostic conversions creates a pattern of patient billing disputes that erodes both revenue and patient satisfaction. These are exactly the patterns that practice intelligence platforms are designed to detect, and they are the same patterns that a strong billing partner catches through manual review and reconciliation.
The difference is speed and scale. A billing partner reviews claims after they are submitted and posted. A practice intelligence platform can surface the pattern before the next batch of claims goes out, which means the coding error gets fixed at the source rather than cleaned up after the denial. For the diagnostic colonoscopy code itself and the billing mechanics a platform like this would benchmark, see our guide to CPT code 45378.
Practice Intelligence vs Traditional Billing Review
| Capability | Traditional Billing Review | Practice Intelligence Platform |
| Denial pattern detection | Manual, after posting | Automated, real-time benchmarking |
| Coding gap identification | Claim-by-claim audit | Cross-practice comparison at scale |
| Reimbursement tracking | Deposit reconciliation | Payer-level rate analysis vs peers |
| Speed of insight | Days to weeks after denial | Continuous, updated with claims data |
| Clinical context | None (billing data only) | Integrated with clinical guidelines (ACG) |
| Cost to practice | Included in billing partner fee | Free for verified clinicians (Jiro) |
What GI Practices Should Evaluate Now
The ACG-Jiro partnership is part of a broader shift toward data-driven practice management in gastroenterology. Whether or not a practice adopts Jiro specifically, the announcement raises questions every GI practice owner and manager should be asking about their own revenue visibility. Here is what to evaluate:
- Review your current denial rate by CPT code. If you cannot break down your denials by specific procedure code and payer, you do not have the visibility a practice intelligence platform provides. Ask your billing team or partner for this report.
- Check whether your billing partner benchmarks your reimbursement against peer practices. A flat collections report tells you what you collected. Benchmarking tells you whether you collected what you should have collected.
- Audit your modifier usage on screening colonoscopies. Modifier PT on screening-to-diagnostic conversions and modifier 33 on commercial screening claims are two of the most commonly missed modifiers in GI billing. A practice intelligence platform flags these gaps automatically.
- Ask whether your coding patterns match current ACG guidelines. If your documentation and coding have not been updated to reflect the latest ACG clinical guidelines, your claims may not support the complexity level you are performing.
- Evaluate whether your current billing infrastructure gives you financial intelligence or just financial processing. Processing means claims go out and payments come in. Intelligence means you know why your revenue is where it is and what specific actions would change it.
Practice intelligence platforms are raising the bar on what GI practices should expect from their revenue cycle. If your current billing setup gives you collections reports but no insight into why specific codes deny, which payers underpay, or where your coding gaps are, a billing partner with GI-specific experience closes that gap. Get matched with vetted GI billing companies, free.
What This Does Not Replace
One question we hear constantly from GI practice managers is whether a platform like Jiro replaces a billing partner. The short answer is no. Practice intelligence platforms surface the patterns. They do not submit claims, post payments, work denials, handle appeals, manage prior authorizations, or reconcile deposits. Those are operational billing functions that require staff, whether in-house or outsourced.
What a practice intelligence platform does is make the billing operation more accountable. When a platform shows that your denial rate on CPT 45385 is twice the peer benchmark, your billing team has a specific target to investigate and fix. When it flags that a payer’s reimbursement for G0121 dropped 8% quarter over quarter, your contract negotiation has data behind it. The platform provides the intelligence. The billing partner or in-house team acts on it.
Across the billing companies we vet for GI practices, the strongest operators already perform this kind of analysis manually through reconciliation and denial trending. The difference is that a platform automates the detection and delivers it continuously, rather than surfacing it in a quarterly review. For practices evaluating whether to keep billing in-house or outsource, the question is not just whether the billing gets done but whether anyone is watching the revenue closely enough to catch what the billing misses. For how Medicare GI reimbursement is shifting heading into the new year, see the 2027 Medicare GI payment changes overview.
Frequently Asked Questions
What is the ACG and Jiro Health partnership?
ACG announced a content agreement with Jiro Health on September 29, 2026 that brings ACG clinical guidelines and journal content into Jiro’s practice intelligence platform. The platform uses real-world practice data to surface clinical, operational, and financial insights for individual gastroenterologists, now connected to ACG’s evidence-based guidance.
What is a practice intelligence platform?
A practice intelligence platform analyzes real-world claims data, reimbursement records, and coding patterns to deliver clinical, operational, and financial insights for individual clinicians. Jiro’s platform benchmarks each provider against peers and surfaces referral patterns, reimbursement gaps, denial trends, and coding opportunities that would otherwise remain hidden in raw claims data.
Is Jiro Health free for gastroenterologists?
Yes. Jiro is free for all verified clinicians in the United States as of its July 28, 2026 launch. The platform is HIPAA compliant, SOC 2 certified, and offers accredited CME. It is available through the web and the Apple App Store.
Does a practice intelligence platform replace a billing company?
No. A practice intelligence platform surfaces patterns such as denial trends and reimbursement gaps. It does not submit claims, post payments, work denials, or handle appeals. Those operational functions still require a billing partner or in-house team. The platform provides the intelligence; the billing operation acts on it.
How does this affect GI billing specifically?
The platform identifies GI-specific revenue patterns, such as underpayments on colonoscopy codes, missed modifiers (PT and 33), coding gaps relative to peer practices, and denial trends by payer and CPT code. These are the same patterns a strong GI billing partner catches through manual review, delivered through automated analytics.
What should a GI practice do after hearing about this partnership?
Evaluate your current revenue visibility. Review denial rates by CPT code, check whether your billing partner benchmarks your reimbursement against peers, and audit modifier usage on screening colonoscopies. If your billing setup provides collections reports but no insight into why revenue is where it is, the gap is exactly what practice intelligence platforms and strong billing partners are built to close.
Next Steps
For the diagnostic colonoscopy procedure code and its billing requirements, see our guide to CPT code 45378.
When a colonoscopy cannot be completed and the scope is withdrawn early, modifier 52 applies. See our breakdown of modifier 52 in medical billing.
For a full look at how Medicare GI reimbursement is changing heading into the new year, read the 2027 Medicare GI payment changes overview.
Ready to get GI-specific billing intelligence without building it yourself? Get matched with a billing company that knows gastroenterology.
Practice intelligence is raising the standard for GI revenue visibility. Whether you use a platform, a billing partner, or both, the question is the same: do you know where your revenue is leaking and why? Gastroenterology Billing matches your practice with vetted billing companies that specialize in GI. Over 2,000 providers matched nationwide, rates starting at 2.95%, and the service is 100% free.
