🚑 ER & Emergency Department Billing

Emergency Department Billing Built for Speed and Maximum Recovery

E&M Level Optimization24/7 Claim ProcessingFreestanding ERCritical Care Coding

Overview

Emergency department billing demands a specialized skill set that combines speed, precision, and deep knowledge of emergency medicine coding and payer rules. The ER environment generates high claim volumes with complex coding requirements.

Rafsons Med Billing emergency medicine billing specialists manage 24/7 claim processing workflows to keep pace with your department volume. We optimize E&M level documentation, capture all billable services including critical care time, and navigate the unique payer challenges of emergency medicine including No Surprises Act requirements.

Whether you operate a hospital-based ED, freestanding emergency center, or multi-site emergency medicine group, our ER billing team delivers the speed and expertise your high-volume environment requires.

Key Benefits & Outcomes

24/7 Claim Processing

Emergency medicine never sleeps and neither does our billing team. Claims are processed around the clock every day.

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E&M Level Optimization

Documentation review and E&M level optimization maximizes reimbursement for every patient encounter.

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Critical Care Coding

Expert critical care time documentation and CPT coding ensures full reimbursement for your highest-acuity patients.

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Observation Status

Complex observation versus inpatient status decisions are handled correctly to optimize reimbursement and compliance.

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Facility Fee Billing

Separate professional and facility fee billing streams are managed and reconciled for maximum combined reimbursement.

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No Surprises Act Compliance

Full compliance with NSA good faith estimate, IDR, and patient notification requirements.

Our Process

1

Real-Time Charge Feed

We integrate with your ED information system for automated, real-time charge and documentation feeds.

2

E&M Level Review

Every encounter is reviewed for appropriate E&M level assignment based on MDM or time-based coding criteria.

3

Service Capture

All billable services are captured: critical care time, procedures, supplies, observation hours, and ancillaries.

4

Claim Submission

Clean claims submitted within 12-24 hours of encounter documentation completion.

5

AR and Denial Management

Aggressive follow-up on all payer types including complex out-of-network and self-pay billing.

Frequently Asked Questions

How do you handle high-volume ER billing?+
We deploy a dedicated ER billing team with scalable staffing based on your department daily volume. Our workflows process claims within 12-24 hours of encounter close regardless of volume spikes.
Do you handle both professional and facility fee billing?+
Yes. We manage both the physician professional fee CMS-1500 and hospital facility fee UB-04 billing streams, ensuring proper coordination and maximizing combined reimbursement for each encounter.
How do you handle uninsured ER patients?+
We implement compassionate self-pay billing protocols including federal poverty level screening, charity care identification, prompt-pay discounts, and flexible payment plans while maintaining compliance with state balance billing laws and the No Surprises Act.
Can you help with freestanding emergency center billing?+
Yes. Freestanding ER billing has unique coding and billing requirements distinct from hospital-based EDs. Our team specializes in FSED billing including facility fee optimization, payer contracting strategy, and out-of-network negotiation.

Maximize Emergency Medicine Revenue

Specialized ER billing that captures every billable service and keeps pace with your department volume.