MBS for Physicians
Emergency Medicine
Billing Services
Optimize Your Practice Revenue & Billing Efficiency
Getting Started
Emergency Medicine Billing demands precision, speed, and adaptability to manage the high-pressure environment of emergency departments. Given the fast-paced nature of emergency care, billing errors can easily occur, making it essential to have a reliable billing partner.
Our Emergency Medicine Billing Services are designed to ensure accurate claim submissions, full compliance with industry regulations, and maximized revenue cycle management for every case. From critical care procedures to complex coding scenarios and time-sensitive documentation, we help emergency care providers focus entirely on saving lives while we expertly manage their billing needs, reducing administrative stress and ensuring timely reimbursements.
Medical Billing At A Glance
Explore the key performance metrics that reflect our dedication to accurate coding, reduced denials, and maximized reimbursements for healthcare providers.
Claims Processing Metrics
First Pass Resolution Rate
Percentage of claims paid successfully on first submission.
Average Days to Payment
Average number of days it takes for claims to be paid, typically within 21 days.
Financial Metrics
Net Collection Rate
Percentage of total charges collected successfully.
Denial Resolution Velocity
Average number of days taken to fix and resolve a denied claim, typically within 30 days.
Operational Metrics
Average Monthly Claims
Volume of claims submitted.
Staff Productivity Rate
Claims processed per biller per day.
Emergency Medicine Billing Services
Driving Claim Accuracy and Compliance for Enhanced Revenue Outcomes
Emergency Room (ER) services encompass a wide range of over 300 different procedures, only some of which qualify for insurance reimbursement. Determining eligibility for reimbursement requires detailed documentation to meet specific criteria for each procedure. Failure to establish these criteria often results in claim rejection.
Key Challenges:
● Identifying reimbursable ER services and their eligibility criteria.
● Ensuring precise documentation of emergency treatment episodes to avoid claim rejections.
● Managing procedural complexities alongside increased patient volume due to EMTALA.
Emergency medicine billing is more intricate than other specialties due to its need for both medical and regulatory knowledge. The specialized expertise required is:
- Medical understanding of ER procedures and eligibility for insurance coverage.
- Knowledge of EMTALA regulations and their impact on ER services.
- Documentation skills to support reimbursement claims and smoothen administrative workflows.
MBS provides a dedicated team of medical billers and coders with the sophistication required to handle the complexities of ER billing. Our team manages the end-to-end billing process, from identifying eligible services and documenting qualifying criteria to claim preparation and submission.
Key Strengths of MBS’s Team:
- Extensive knowledge of ER procedure codes and reimbursement criteria.
- Hands-on experience with EMTALA compliance and procedural requirements.
- Practical understanding of the integration between ER and surgical services in large hospitals.
Our flexible billing and coding services offer customizable models to suit your organization’s specific needs. From improving revenue cycle management to streamlining administrative processes, we ensure your ER billing operations are efficient and compliant.
Benefits of Choosing MBS:
- Replace outdated software with HIPAA-compliant applications for seamless electronic data transfer.
- Streamline billing processes by eliminating inefficiencies and identifying revenue leaks.
- Offload administrative responsibilities to focus entirely on patient care.
Our RCM services provide a comprehensive approach to managing ER billing. We help providers optimize their revenue management processes and ensure compliance with industry standards. RCM Highlights:
● Integration of enhanced software solutions tailored to ER billing needs.
● Gap analysis to identify training needs and eliminate revenue leakage.
● End-to-end management of administrative tasks to boost operational efficiency.
By partnering with MBS, you can overcome the complexities of emergency medicine billing while focusing on delivering quality healthcare.