Emergency Room Billing Services

Comprehensive ER Billing Solutions for Maximum Reimbursement

”Emergency room billing is a delicate process with a lot at stake.” With multiple medical codes, changing payer reimbursement rates, and rigorous compliance rules, it can be challenging for emergency rooms to increase revenue and reduce claim rejections. To effectively manage the complexities of emergency room billing, Philadelphia medical billing company provides specialized services to physicians and emergency departments. Having a dedicated team with advanced knowledge of emergency medicine billing, we are closely positioned to correctly figure charges, fast-track claims, and obtain optimal reimbursement. Using current technology and following industry standards, we manage your revenue cycle and ensure your financial health while you treat your patients.

Our Emergency Room Billing Specific Services

Depending on whether your facility is a standalone emergency room or an ER within a hospital, we offer scale-specific solutions for billing.

Prompt Charge Capture

When a charge is captured, it is important that the charge be captured for effective generation of complete and accurate claims. This involves proper documentation processes such as the capture of all patient details

Coding and Chargemaster Management

Emergency room coding service centers on the identification of proper medical codes for the services provided, including CPT, ICD-10, and HCPCS codes.

Claim Submission and Follow-up/Systematic

To maximize reimbursement, we ensure the accuracy and timely submission of your claims. This entails presenting clear and precise claims to the payers, prepared for processing payment.

Rigorous Denial Management

Our expert team identifies specific claim denials, categorizes the reasons for the denial, and determines the necessary subsequent actions. The service also includes appealing for reconsideration and resubmitting corrected claims.

Level of Service (LOS) Optimization

Understanding the right level of care for emergency department visits is helpful for the determination of payment. Our professionals review the patients’ charts to properly assign codes

Complex Case Auditing

Our main focus is reviewing only the emergency cases that are complex in nature so that we can analyze coding and documentation possibilities. With such cases optimized, there is the capability of raising the overall revenue level.

Bundling of Services and Unbundling Specialization

Understanding the intricacies of bundled services and when to unbundle is essential for accurate billing. Our disposal team has specialized knowledge and experience in achieving the highest reimbursement

Out of network and self-pay patient management

Out-of-network patients as well as self-pay accounts can be challenging, and it therefore requires certain special approaches. Our team has the ability to help clients maximize their revenues in these hot button issues.

Benefits of Outsourcing Emergency Room Billing Services to Philadelphia Medical Billing Company

When you outsource your emergency room billing to us, we guarantee to transform your financial status, business productivity, and practice management for the better.

Enhanced Revenue Cycle Management:

Once you outsource your emergency room billing needs to our staff, there will be much improvement in your revenue cycle. We focus on streamlining the submission process for claims as well as minimizing the number of denied claims and increasing payment collection speed. This means that the revenues and cash flow in your practice are boosted.

Focus on Core Competencies:

By outsourcing your emergency room billing, you find that the staff can spend more time dealing with the patients. All the cumbersome work of billing is done by our team, so you may have ample time to pay good attention to your patients.

Mitigated Financial Risks:

Our knowledge of various billing rules and regulations, together with assistance in handling payer audits, shields your practice against fines. We maintain strict compliance measures to ensure that y our risk profile is as low as possible.

Leverage Expert Billing Knowledge

Our team has vast experience in the billing, coding, and reimbursement of emergency room services. This helps the client to recover the maximum revenue and submit correct claims with the help of our professional skills

Cost-Effective Solutions:

The services that we offer are affordable and are value for money services that you can be assured of.

Data-Driven Decision Making:

By using a data-experience approach in our work, we offer profound information about your billing efficiency. This way we can detect certain deficiencies and have the chance to enhance your stakeholders’ revenue cycle.

Common Emergency Room Billing Problems We Solve

Delayed or Denied Claims:

We optimize prior authorization for United Healthcare to enhance the likelihood of approval within the shortest time.

Underpaid Claims:

We identify underpaid claims and work diligently to recover the full amount owed.

Coding Errors:

Qualified coders tend to assign the right code to the respective cases, thus resulting in higher reimbursement.

Charge Capture Errors:

Our accurate and timely charge capture prevents lost revenue due to missed charges.

Payer Contract Issues:

Reimbursement is managed effectively by looking at the payer contracts and understanding them in detail.

Patient Billing Challenges:

Proper handling of patient billing as well as collection enhances the important aspect of cash flow.

Frequently Asked Questions

What is a medical billing company and how can it help me?

Medical billing companies are organizations that help providers in appropriate billing and collecting reimbursements. Skilled medical billers create error-free claims and file them on time so providers get paid quickly.

What are the services offered by your medical billing company?

Philadelphia medical billing company offers services such as provider’s credentialing and enrollment, insurance verification, charge entry, claim submission, payment posting, A/R management, denial management, appeal management, patient billing, reimbursement tracking and collection, etc.

How does your company handle medical claims reimbursement and denials?

Our medical billers have years of experience working with USA’s top providers and payers. Each claim we file is tracked appropriately and rapid response is given if any issue arises. In case of denials, we file an appeal after thorough investigation. Our experts ensure you get paid for every patient encounter and procedures.

Ready to Optimize Your Emergency Room Billing?

Let’s collaborate to enhance your revenue cycle management. Please get in touch with us today to find out how we can help your practice today.