There are 300 kinds of services provided under Emergency Room (ER) services and a few of them are entitled to insurance reimbursement. Each procedure code has a distinct set of criteria and unless the care provider properly establishes by documentation that an emergency treatment episode meets all of them, it leads to claim rejection. Also in relation with emergency medicine, EMTALA which governs emergency services in the US mandates that emergency services be available to all regardless of ability to pay or insurance coverage.
This leaves care providers and hospitals to deal with not just an increased number of patients but also procedural complications like accurately identifying which services are eligible for reimbursement, documenting such treatment episodes accurately, and preparing and submitting claims.
Our billers and coders in Maryland work with the sole purpose of providing quality medical billing services to physicians. They are dedicated to providing you regular cash flow for your practice since they have an overall understanding of the dynamic nature of healthcare insurance. This knowledge and understanding has come to them as a result of years of training in the state of Maryland.
These billers believe in being close to their physicians to resolve any issues that may spring up and therefore are present in all cities of Maryland like Baltimore, Rockville, Frederick, Gaithersburg and Columbia. Besides they have the required expertise to successfully operate with different specialties across all healthcare practices. Some of the services which our medical billers specializes in are:
Coding with CPT and ICD-9
Electronic submission of claims
Accounts receivable management
Patient billing and collections
Compliance to HIPAA and other rules and regulations