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 Utah medical billers and coders use their experience and professional expertise to make your practice receive its rightful payments. They are bent on maximizing your practice’s reimbursement and are dedicated to stay ahead of the constantly changing healthcare insurance industry.
Their compliance with HIPAA and all the other medical billing laws can ensure safety, integrity and confidentiality of your data. Some of the cities where our billers are located in are, Salt Lake City, West Valley City, Provo, West Jordan and Sandy. These billers are adept in the following services:
Electronic as well as paper claims filing
Follow up on submitted and rejected claims
Patient and insurance payment posting
Handling patient inquiries for billing
Generating Monthly financial report