Emergency Medical Billing Services
In emergency departments, high-acuity procedures are often performed in a single encounter, and accurate documentation and precise coding are not just necessary — they're critical to ensuring timely reimbursements and minimizing revenue leakage.
We offer tailored emergency medicine billing services that keep up with the urgency of the ER environment. Our certified coders and revenue cycle experts ensure correct E/M level coding, CPT procedure codes, and modifiers, while minimizing delays, rejections, and compliance issues.
- 98% clean claim rate
- 4% denial benchmark
- 35% increase in legacy AR collections/yr
- 30 days average AR
- 48 hours claim turnaround time
- Up to 20% boost in revenue with charge optimization
- HIPAA-compliant billing operations
- Seamless EHR/EMR integration
98%
Clean Claims
4%
Denial Rate
30 Days
Average AR
48hr
Turnaround
What Makes Emergency Medical Billing Unique?
High Service Volume
Wide range of services in short spans of time (labs, imaging, injections, wound care).
High CPT Code Usage
High use of CPT codes 99281–99285 for Emergency Department visits.
Real-Time Coding Need
Need for real-time coding, especially during off-hours.
Complex Cases
Complex cases involving trauma, cardiac issues, and life-saving interventions.
High Payer Scrutiny
Higher scrutiny by payers due to volume and cost.
Our End-to-End Emergency Medical Billing Services in New York
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Patient Registration & Eligibility Checks — Verifying insurance coverage and benefits in real time.
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Charge & Code Capture — Accurate use of ICD-10, CPT, and HCPCS codes, including modifiers (-25, -59).
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Claim Scrubbing & Submission — All claims reviewed and submitted within 24–48 hours.
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Denial Management & Appeals — Quick turnarounds on rejections with proper documentation.
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Accounts Receivable (AR) Follow-up — Regular tracking, escalation, and follow-up on pending claims.
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Compliance & Reporting — HIPAA-compliant processes and regular reporting for transparency.
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24/7 Billing Support — Around-the-clock availability to support emergency operations.
Most Commonly Used Emergency Billing Codes
E/M Codes:99281–99285 (Emergency Dept), 99291–99292 (Critical Care)
Procedures:11042–13160 (wound care), 96372 (injections), 31500 (intubation), 36415 (venipuncture)
Diagnostics:71045 (Chest X-ray), 93000 (ECG), 80050 (lab panels)
Modifiers:-25, -59, -78, -77 (for bundled/unbundled services)
Who We Serve
- Standalone Emergency Departments
- Hospital Emergency Rooms
- Urgent + Emergency Care Hybrid Centers
- Hospital-affiliated urgent care facilities
Results You Can Expect
- 98% clean claim rate
- 4% denial benchmark
- 35% increase in legacy AR collections/yr
- 30 days average AR
- 48 hours claim turnaround time
- Up to 20% boost in revenue with charge optimization
Challenges Solved by Our ER Billing Experts
High denial rates due to documentation or modifier errors
Under-coding or missed charges for critical services
Delayed claims and reduced cash flow
Lack of integration with hospital EHR systems
Manual errors during charge entry and claim submission
Why Choose Our Emergency Medical Billing Services?
- Deep expertise in emergency coding protocols and payer-specific rules
- Integration with your EHR, EMR, and hospital management systems
- Support for high-acuity visits and time-based billing
- Real-time reporting, dashboards, and audit-ready documentation
Our Proven Results
What our emergency billing partners consistently experience:
98%
Clean Claim Rate
4%
Denial Rate
35%
AR Collection Boost/yr
20%
Revenue with Charge Opt.
Book a Free Emergency Billing Audit Today!
Let our ER billing specialists find hidden revenue leakage and compliance gaps — at no cost to you.
Get Free AuditFrequently Asked Questions (FAQs)
1. How soon are claims submitted after treatment?
We submit all emergency claims within 24–48 hours of receiving the complete encounter data. Each claim goes through automated and manual pre-submission scrubbing to catch documentation gaps, coding errors, and missing modifiers — ensuring the first-pass acceptance rate stays above 98%.
2. Can you handle high-volume emergency departments?
Yes. Our team is built for high-volume ER environments. We scale with your patient volume using experienced coders, automated workflows, and real-time billing dashboards — ensuring no claim gets lost regardless of ER census levels.
3. What codes are used in ER billing?
ER billing primarily uses E/M codes 99281–99285 (Emergency Department) and 99291–99292 (Critical Care), along with procedure codes like 11042–13160 (wound care), 36415 (venipuncture), 31500 (intubation), diagnostic codes like 71045 (chest X-ray) and 93000 (ECG), and modifiers -25, -59, -77, -78 for bundled/unbundled services.
4. How do you ensure clean claims?
We apply a multi-layer claim review process: automated edit checks, modifier validation, ICD-10/CPT linking, and manual coder review for complex cases. We also validate patient eligibility before submission, reducing rejections due to coverage discrepancies. Our process maintains a 98%+ clean claim rate.
5. What documentation is needed for emergency billing?
For ER billing, proper documentation must include the chief complaint, history, physical exam findings, medical decision-making (MDM) or total time for E/M level, procedure notes with time and technique, and physician attestation. We work closely with your clinical staff to ensure documentation meets payer-specific requirements.
6. Do you support 24/7 billing operations?
Yes. Since emergency departments operate around the clock, our billing support team is available 24/7 to handle urgent claim inquiries, denial responses, payer communications, and real-time reporting — ensuring no disruption to your revenue cycle regardless of the time zone or shift.