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.
The biggest concern for Minnesota providers would be to know if their practice is getting the right reimbursement for the level of healthcare they provide. With insurance regulations increasing all the, it can become very difficult for you to manage account receivables collections and it is also possible that your overloaded staff might find it difficult to cater to the growing demands of insurance carriers both commercial and government.
Our Minnesota billers stationed in cities like Minneapolis, St. Paul, Rochester, Duluth and Bloomington is the best choice for physicians looking for experienced local billers. Some of the services that they have shown expertise are:
Charge entry and verification of insurance
CPT and ICD-9 coding
Primary and secondary claims billing
Account receivables follow up
Customized monthly report