Emergency Department Billing Built for Speed and Maximum Recovery
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.
E&M Level Optimization
Documentation review and E&M level optimization maximizes reimbursement for every patient encounter.
Critical Care Coding
Expert critical care time documentation and CPT coding ensures full reimbursement for your highest-acuity patients.
Observation Status
Complex observation versus inpatient status decisions are handled correctly to optimize reimbursement and compliance.
Facility Fee Billing
Separate professional and facility fee billing streams are managed and reconciled for maximum combined reimbursement.
No Surprises Act Compliance
Full compliance with NSA good faith estimate, IDR, and patient notification requirements.
Our Process
Real-Time Charge Feed
We integrate with your ED information system for automated, real-time charge and documentation feeds.
E&M Level Review
Every encounter is reviewed for appropriate E&M level assignment based on MDM or time-based coding criteria.
Service Capture
All billable services are captured: critical care time, procedures, supplies, observation hours, and ancillaries.
Claim Submission
Clean claims submitted within 12-24 hours of encounter documentation completion.
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?+
Do you handle both professional and facility fee billing?+
How do you handle uninsured ER patients?+
Can you help with freestanding emergency center billing?+
Maximize Emergency Medicine Revenue
Specialized ER billing that captures every billable service and keeps pace with your department volume.