We Handle the Billing. You Handle the Healing
Emergency departments face unpredictable patient flow, high-acuity encounters, complex documentation, and strict payer rules. These factors lead to persistent errors such as
Emergency departments also face discharged-not-finally-billed (DNFB) risks, out-of-network payer scrutiny, and surprise billing compliance challenges, which directly impact reimbursement timelines and revenue integrity.
We eliminate these issues with ER-focused billing intelligence, credentialed coders, payer-rule automation, and structured A R resolution tailored for emergency medicine environments.
Level 1 to Level 5 E M visits
Facility vs professional coding accuracy
Trauma activation charges
Trauma team documentation support
Critical care billing for CPT 99291–99292
Time-based validation and audit support
Imaging interpretations
Cardiac monitoring
Respiratory therapy treatments
Laceration repair
Splinting and casting
Wound management
Incision and drainage
CBC, CMP, electrolytes
Urinalysis
Drug screens
Flu, strep, viral panels
Blood cultures and sepsis bundle alignment
Foreign body removal
Abscess drainage
Fracture care
EKG interpretation
Nebulizer treatment
Joint reduction
Burn care
Emergency infusion services
Remote triage billing
Virtual follow-up services
Telehealth E M coding
After-hours virtual urgent evaluations
For every ER encounter, our team performs
Documentation completeness review
Correct CPT and ICD selection
ER level validation for 99281–99285
NCCI edit detection and correction
Modifier review for FT, FS, 25, 59, 76, 77
Payer-specific medical necessity verification
Prior authorization check (when applicable)
Compliance and EMTALA alignment
Fix: Automated global-period tracking + coder review.
Every claim is coded, checked, and validated with precision.
Every claim is coded, checked, and validated with precision.
Every claim is coded, checked, and validated with precision.
Every claim is coded, checked, and validated with precision.
CO-50
CO-16
CO-151
CO-97
CO-4
PR-1
CO-197
Not medically necessary
Missing info
Frequency limit
Bundled services
Invalid CPT
Deductible
Precertification / authorization missing
Primary diagnostics are lacking ICD support
Missing time, documentation, or interpretations
Repeat tests during the same encounter
Procedure bundled under ER visit
Incorrect ER level or procedure coding
Common in Medicare ER visits
High-cost ER imaging or procedures
Correct ICD pairing plus physician notes
Add documentation and resubmit
Provide medical necessity and attach notes
Apply the correct modifier when applicable
Recode according to the documentation
Benefit verification and patient communication
Retro-authorization and payer escalation
Speak with ER billing experts who manage acuity distribution,
facility vs professional billing, and denial recovery.
It includes coding and billing for high-acuity ER visits, trauma activation, diagnostics, critical care, procedures, and teletriage services.
Due to unpredictable acuity, split facility vs professional billing, critical care time rules, and strict payer compliance requirements.
ER visits (99281–99285), trauma activation, diagnostics, procedures, critical care, tele-emergency, and observation services.
Yes, including CPT 99291–99292 with time validation and medical necessity audits.
CO-50, CO-16, CO-97, bundling errors, and medical necessity denials.
Yes, we provide emergency department billing services across the USA.
