U.S.-based ER billing for hospital emergency departments—97% clean claim rate, 60% fewer denials, and 24/7 coding support for trauma, critical care, and high-volume EDs.
Request a Free RCM AuditExpert use of 99281–99285, critical care (99291), and trauma activation codes—validated against clinical documentation to prevent under/over-coding.
Round-the-clock coverage ensures claims are coded and scrubbed within hours of patient discharge—no weekend or holiday delays.
Pre-submission edits catch missing modifiers, eligibility lapses, and payer-specific ED rules before claims go out.
Works with Epic, Cerner, Meditech, and eClinicalWorks—no duplicate data entry or workflow disruption in fast-paced ED environments.
Denied claims are appealed within 48 hours with clinical documentation support—recovering 87% of lost ER revenue.
Your U.S.-based expert monitors ED-specific KPIs: charge lag, coding accuracy, denial root causes, and payer performance.
ER billing is high-pressure, high-volume, and high-risk for denials due to documentation gaps, coding complexity, and payer scrutiny.
Rushed notes often lack key elements (HPI, ROS, MDM), leading to E/M downgrades or denials for medical necessity.
Payers aggressively audit ED claims for observation vs. ER status, duplicate billing, or missing trauma activation details.
Manual or fragmented workflows cause 3–5 day charge lag—increasing risk of missed revenue and compliance exposure.
Commercial payers (e.g., United, Aetna) have strict rules for ED visits—non-compliance triggers automatic denials.
Designed for hospital emergency departments that need speed, accuracy, and compliance.
Track procedures, medications, and E/M levels during patient visit via EHR or mobile intake.
Validate provider notes for E/M level support, trauma criteria, and critical care time documentation.
Assign correct CPT/HCPCS, E/M level, and modifiers (-25, -59) based on payer-specific ED guidelines.
Submit scrubbed claims daily; monitor for real-time payer edits and auto-correct.
Monthly dashboard: denial trends, top DRGs, payer performance, and actionable optimization insights.
Clean Claim Rate
Fewer Denials
Higher Net Collections
Based on 42 emergency departments served in 2024. Results may vary.
Read our in-depth guide on reducing denials and optimizing revenue in high-volume emergency departments.
Read Our ER Billing GuideThe average emergency department loses $120K–$300K/year to under-coded E/M levels, missed trauma charges, and slow denial follow-up.