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 professional medical billers and coders in North Carolina can guarantee you of fast and efficient billing, accuracy in coding and compliance to all HIPAA requirement as well as other billing regulations.
With a pool of experts who are present in all the major cities such as Charlotte, Raleigh, Greensboro, Winston-Salem and Durham, Medical Billers and Coders is the ultimate destination for your billing needs. These Billers stay up-to-date on industry changes, new software and technology and the same time maintain industry best practices for your clinic. Some of the services that they provide are:
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CPT and ICD9 review
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Accounts receivable management
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Fee schedule analysis
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Making appeals on denied documents whenever necessary
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Re-submission of all coding issues and analysis of the cause of denial
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Reimbursement audits
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