Billing for emergency medicine is not general billing with a different code set. High-acuity E/M levels and critical care time, coded from documentation written under time pressure.
A large uninsured and out-of-network share, and the federal No Surprises Act now governs what a patient may be balance-billed.
At a glance
What drives the coding
High-acuity E/M levels and critical care time, coded from documentation written under time pressure.
What drives the payer behavior
A large uninsured and out-of-network share, and the federal No Surprises Act now governs what a patient may be balance-billed.
Coding
Assigned by certified coders from your documentation.
Reporting
Denials segmented by reason, payer, and provider.
Where emergency medicine claims actually fail
- Critical care time not documented in minutes
- Prudent layperson standard not applied by the payer
- Balance billing restricted under surprise-billing rules
How we work it
We code from what your record documents and query you when it does not support a code, which in emergency medicine is where most of the avoidable exposure sits.
Denials are worked by cause rather than in queue order, so the same failure stops recurring instead of being re-worked every month.
We work the claims. You practice medicine.
Coding, claim submission, denial management, and A/R follow-up — with nothing left for your front desk to chase.
View pricingHow It Works
Review
We look at your current emergency medicine denials and aging.
Scope
A written scope and price before any work starts.
Transition
Coding and submission move across without a gap.
Report
Denial causes reported monthly, segmented by payer.
Emergency Medicine — Frequently Asked Questions
Do you have coders who know emergency medicine?
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Yes. All coding is performed by certified coders, and specialty assignment is deliberate — high-acuity E/M levels and critical care time, coded from documentation written under time pressure.
Do you guarantee we will collect more?
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No, and nobody honestly can. Payment is decided by the payer. What we commit to is the process and the six numbers we report, which you can check against your own system.
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