Emergency departments deal with unpredictable patient volumes, immediate clinical situations, and complex billing requirements. Why Emergency Physician Billing Needs a Specialized Approach Emergency department billing is different than the typical doctor’s office billing because the patient’s visit can be much more complex. The same workflow can handle a practice’s minor injuries, diagnostic exams, complex medical emergencies, and critical care. Ways to Strengthen Emergency Room Physician Billing Apply Appropriate E/M Coding Emergency department encounters can involve different levels of medical complexity. Selecting the appropriate E/M code requires evaluating the documented medical decision-making according to applicable coding guidelines. Coding reviews can help identify mismatches between the medical record and submitted claim. They can also uncover recurring documentation issues that may benefit from provider education. Manage Denials and Payer Di...
We help physicians, medical specialties, and billing groups increase revenue with accurate coding, faster reimbursement, and fewer denials.