07 Aug Crisis of Critically-Injured Billing in Emergency Medicine Departments
The last thing on the mind of a clinician who’s racing to treat an Emergency Room patient is inputting the right procedure code on an EHR. But when it comes time to bill the insurance company for that treatment, the billing associate is going to pay A LOT of attention.
A claim with missed admits, discharges, and incorrect procedure codes will result in the denial of that claim. Multiplied by the number of claims submitted annually, an Emergency Medicine department is looking at significant income loss.
A Trusted Outsourcing Partner: More Than Triage for Emergency Medicine Billing
It’s obvious that billing insurance companies for Emergency Medicine services is incredibly complex. It requires extreme accuracy despite the difficulties of capturing information. It’s why Emergency Medicine departments outsource their insurance billing.
But if the outsourcing is being done with a generalist resource, the percentage of insurance claim denials might not improve. Emergency Medicine billing requires the deep knowledge of Emergency Medicine billing specialists who can consistently generate clean claims because of their ability to:
- Identify missed billing opportunities
- Stay current with all documentation requirements
- Reduce clinical documentation errors
- Provide a higher clean claims rate
- Increased collections
- Lower days-on-books rate
- Adhere to all quality control and compliance protocols
Insurance Billing and Coding Knowledge = Maximum Reimbursement
To deliver clean claims, a billing outsourcing resource must be current with Emergency Medicine’s most up-to-date codes and any coding changes, and all documentation requirements. It must maintain rigorous adherence to all compliance protocols. This includes ongoing coder reviews and provider education.
Lack of this expertise is likely to trigger continual denials that negatively impact the department’s bottom line.
Time to treat your Emergency Medicine Billing with The Medusind Advantage
Medusind Emergency Medicine billing specialists bring deep knowledge and experience in every billing process to achieve clean claims, improve efficiency, and increase revenue.
Our team of Credentialing professionals ensure that credentialing is always current with major payers.
Medusind’s MedClarity™ Practice Management System ensures consistent clean claim submission and efficient Accounts Receivable (A/R) follow-up. It also provides total clarity into your revenue cycle with pre-built reports and insights.
If your Emergency Department is sustaining unnecessary injury to its bottom line, contact Medusind. Our billing specialists and robust systems are the prescription for a healthy financial outcome.
