Title: Emergency Medicine Billing and Revenue Cycle Management Services in USA
1(No Transcript)
2EMERGENCY MEDICINE BILLING SERVICES
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
with 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. It requires
trained skills and understanding to meet all the
requirements, especially because all these
activities are not as straight forward as other
specialties. For example, identifying which ER
services are eligible for insurance requires
medical understanding along with knowledge about
necessary regulations.
3EMERGENCY MEDICINE BILLING SERVICES
Outsourcing to MBC At MBC, we have medical
billers and coders who have the right degree of
sophistication to handle the complexities of ER
billing. They can help you with the entire range
of activities involved in an emergency medicine
billing procedure, starting from accurately
identifying the cases that are entitled to
reimbursement and their procedure codes through
documenting their qualifying criteria to
preparing their claims and submitting
them. Apart from a theoretical and practical
understanding of EMTALA, its implications and
procedural necessities, our billing
professionals years of experience in varied
healthcare environments gives them an additional
advantage they appreciate the fact that ER
service is but a part of a large treatment cycle
where the activities are performed, whether
administering a treatment or documenting it
form the basis of the entire administrative and
medical episode, particularly in a big hospital
that combines emergency as well as surgical
services. This appreciation helps our emergency
medicine billers and coders to function such that
facilitates the advanced stages of a treatment
procedure, in terms of documentation and other
procedural matters.
4EMERGENCY MEDICINE BILLING SERVICES
- Via MBCs flexible emergency billing and coding
services, you can choose the service model that
suits you and your organization best. Our revenue
cycle management (RCM) services will help you - Tighten your revenue management process by
replacing obsolete software applications by
appropriate applications that suit your needs and
smoothens the process of electronic transfer of
data mandated by HIPAA - Streamlining your existing process by trimming
out rambling procedures and processes and
spotting gaps of revenue leakage and identifying
training needs - By opting for MBCs outsourced billing and coding
services, you can completely ship out your
administration responsibilities to us and solely
concentrate on health care.
5EMERGENCY MEDICINE BILLING SERVICES
Email info_at_medicalbillersandcoders.com Fax no
888-316-4566 Toll Free no 888-357-3226
Address Wilmington, 108 West, 13th street,
Wilmington, DE 19801Texas, 539 W. Commerce St
1482 Dallas, TX 75208