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.
What Makes Emergency Medical Billing Unique?
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Wide range of services in short spans of time (labs, imaging, injections, wound care)
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High use of CPT codes 99281–99285 for Emergency Department visits
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Need for real-time coding, especially during off-hours
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Complex cases involving trauma, cardiac issues, and life-saving interventions
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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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Coding & Charge 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 turnaround 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
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E/M Codes: 99281–99285 (Emergency Dept), 99291–99292 (Critical Care)
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Procedure Codes: 11042–13160 (wound care), 96372 (injections), 31500 (intubation), 36415 (venipuncture)
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Diagnostic Codes: 71045 (Chest X-ray), 93000 (ECG), 80050 (lab panels)
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Modifiers: -25, -59, -76, -77 (for bundled/unbundled services)
Who We Serve
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Standalone Emergency Departments
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Hospital Emergency Rooms
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Urgent + Emergency Care Hybrid Centers
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Hospital-affiliated urgent care facilities
Results You Can Expect
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98.6% clean claim rate
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4% denial benchmark
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35% increase in legacy AR collections/p>
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30 days average AR
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48 hours claim turnaround time
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Up to 20% boost in revenue with charge optimization
Challenges Solved by Our ER Billing Experts
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High denial rates due to documentation or modifier errors
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Under-coding or missed charges for critical services
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Delayed claims and reduced cash flow
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Lack of integration with hospital EHR systems
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Manual errors during charge entry and claim submission
Why Choose Our Emergency Medical Billing Services?
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Deep expertise in emergency coding protocols and payer-specific rules
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Integration with your EHR, EMR, and hospital management systems
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Support for high-acuity visits and time-based billing
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Real-time reporting, dashboards, and audit-ready documentation
Book a Free Emergency Billing Audit Today!
Frequently Asked Questions (FAQs)
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We ensure clean claims are submitted within 24–48 hours of service.
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Yes. Our infrastructure is designed for scalability, handling thousands of ER claims daily.
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Emergency billing often involves CPT 99281–99285, along with critical care, wound repair, and imaging codes.
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We use automated scrubbing tools and coder review to eliminate common errors.
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Key documents include chief complaint, HPI, physical exam findings, MDM, procedure details, and discharge plan.
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Yes, our team is available 24/7 to match the always-on nature of emergency departments.
