It’s no wonder why emergency department medical billing is so complicated and frustrating. Emergency departments are at the front lines of today’s healthcare crisis. Because of the cutback in employer-sponsored health coverage, many patients are using emergency departments for their acute healthcare needs, resulting in serious billing issues.
Coding is a major problem when it comes to emergency department billing. When you’re running to treat an emergency room patient, it’s easy to use the incorrect procedure code on an EHR. But that’s cause for claims rejection, just as if you make a small mistake in coding and billing when processing claims for several medical procedures of different levels for complex medical conditions, a common situation in ERs. And coding errors entail high-value cash flow.
Regarding reimbursement, emergency departments often treat patients based on symptoms, with no definitive diagnosis, so it’s harder to allocate payments, except on a cost basis.
Other considerations include:
In emergency medicine, time is everything. Because providers must act quickly to diagnose and treat patients, they might lack time for sufficient documentation, resulting in errors or incomplete coding.
Emergency medicine cases can involve multiple diagnoses, procedures, and treatments. Unless all personnel have a deep understanding of medical terminology and coding rules, claims delays and rejection result.
In many cases, emergency medicine providers must base decisions on incomplete or ambiguous information, making it more difficult to accurately code diagnoses and treatments, since the final diagnosis may not be reached until further testing or evaluation is finished.
Our advanced revenue cycle management solutions and processes ensure that you maximize the collections on every dollar you’re owed.
By outsourcing your revenue cycle management to Medusind, you can significantly reduce the overhead associated with in-house billing.
Contact us today to learn more about how Medusind can help you maximize your emergency department’s financial potential.
Each dedicated Medusind team consists of emergency department RCM professionals with experience in emergency department billing, coding, and compliance. We stay updated on the latest industry regulations to ensure accuracy and compliance every step of the way.
We take a personalized approach to healthcare RCM, tailoring our services to meet your specific needs, goals, and specialty. Whether you’re a small emergency department clinic or a large healthcare system, we have the expertise to optimize your revenue cycle efficiently.
Stay ahead of the curve with our state-of-the-art RCM technology. From proprietary practice management software to real-time reporting, our cutting-edge tools streamline processes, minimize errors, and accelerate reimbursements for emergency departments across the country.
Your success is our priority. Your dedicated Medusind team will keep the lines of communication open and consistent, keeping their focus on meeting or exceeding industry standards in measurable key performance indicators (KPIs) for your emergency department. We’re an extension of your team, committed to delivering exceptional service and ensuring your satisfaction every step of the way.
"We've been a client since 2005 and we're delighted with the speed and effectiveness of our revenue cycle under Medusind. The strong cash flow is critical for us. Plus, their ability to rapidly scale their services when we add new providers or expand our reach within different communities is invaluable. We know that we're in good hands."
Justin Gularek Executive Director"We have been impressed with the revenue cycle results that Medusind has provided like on-time credentialing, great A/R oversight, and smooth cash flow. Plus, the analytics their RCM platform delivers allows our team to prepare effective action plans for the future."
Diana Shchtman OptometristBoost your practice’s profitability and efficiency with streamlined revenue cycle management.
Reduce the risk of errors by reducing the cognitive load of the clinicians and the burden on the admin team.
Eliminate your most time-consuming tasks, freeing up time for patient care and high-level tasks.
Enjoy flexibility with everything from your practice management software to your growth strategy.
Receive outstanding service and support from a dedicated Medusind team that is 100% focused on the success of your practice.
Make informed decisions for the success of your practice with our detailed reporting and analytics.
Get in touch to learn how Medusind’s expert revenue cycle management solutions can take your practice to the next level.
"Having Medusind as a partner has been a great asset to our practice. The detailed monthly reports and the one-on-one contact with a dedicated practice consultant are great advantages. The credentialing team saves a lot of time and stress from an administrative standpoint. The most popular service for my staff is the authorizations team: the value they bring to the table is incredible!"
MIchael Calvert Administrator