Emergency Medicine Medical Billing Services

Our coding team processes ED charts within 24 to 48 hours of the encounter. We use acuity-based coding workflows that match E/M level assignment to clinical documentation, and we flag charts where the documentation supports a higher level than initially coded. For groups seeing 200+ patients daily, we scale our team accordingly.

Critical care (99291 for 30-74 minutes, 99292 for each additional 30 minutes) requires documented time spent on direct patient care for critically ill patients. Time spent on separately billable procedures (intubation, central lines, chest tubes) must be excluded. We review ED notes to ensure time documentation is complete and accurate.

We implement a structured self-pay collection process: immediate financial screening for Medicaid eligibility, prompt-pay discount offers, payment plan arrangements, and systematic follow-up at 30, 60, and 90 days. For qualifying patients, we assist with charity care applications and Medicaid retroactive coverage.

Yes. We reconcile the physician's procedure documentation against billed charges to identify missed procedures. Common missed charges include laceration repairs, I&D procedures, splinting, and foreign body removal. For most ED groups, procedure charge capture audits recover 3% to 5% of total revenue.

Teaching hospital ED billing requires compliance with the teaching physician rules: the attending must be present during the key portion of the service and document their involvement. We review attending attestations and ensure the billing level reflects the teaching physician's documented participation.

We provide daily charge lag reports, monthly RVU production by provider, payer mix analysis, denial rate trending by E/M level, collection rates by payer, and accounts receivable aging. ED medical directors use these reports to identify coding patterns and provider-level performance variations.