Ambulance Medical Billing Services | XyberMed

Emergency billing and coding services An emergency department, also known as an emergency room, is a medical treatment facility specializing in emergency medicine. Emergency medicine is the acute care of patients who present without an appointment, either by themselves or by ambulance. An emergency department can be found in a hospital or in primary care centers.

Due to the unplanned nature of the patient flow, the ED must provide initial treatment for a broad spectrum of illnesses and injuries, some of which can be life-threatening and require immediate attention.

Typical issues in obtaining reimbursement for emergency department services emergency billing and coding services ED billing services are very unique compared to other forms of medical billing. The complexity is due to the unpredictable nature of patient admissions. It relies heavily on the patient care report prepared when the ambulance (ambulance medical billing services) picks up the patient at the location where the need arises.

Typical problems in ED billing are.

Missed charges or high incidence of DNFB (Discharges Not Fully Billed) are due to the fastpaced nature of emergency departments, compounded by a lack of understanding of clinical documentation responsibilities.

They are finding good ED coders. ED coders have a dual responsibility to code accurately and identify unbilled cases. They must collaborate with physicians to reduce DNFB cases, and it is essential that they have the ability to understand trends and patterns in clinical documentation and charges.

Credentialing issues. Often, EDs require specialist physicians. Ensuring credentialing of most of the usual specialists with the usual payers in the region will improve the reimbursements received.

Life support systems. A slight error in terminologies specific to the service provided, such as service provided for Basic Life Support (BLS), mileage documentation, and Advanced Life Support (ALS), results in denials.

Medical necessity. Coders must understand the criteria that determine "medical necessity" for coding the various levels of ground and air ambulance services (ambulance medical billing services) used.

It is critical to stay abreast of emergency room billing rules, as they change frequently.

Many insurance plans pay for unexpected benefits on a plan basis and, for the most part, are responsible for contracting with emergency physicians.

Medical Billing and Coding Services ED Billing and Coding Expertise At XyberMed, we have a client base that spans all 50 states, covering a wide range of hospitals, physician practices, and medical billing companies. We employ our experience and expertise gained through a decade of working with ED physicians in fixing and improving their revenue cycle. Our coders are proficient in ICD-9/10, CPT, and HCPCS coding guidelines provided by CMS and AMA, and are certified by the American Academy of Professional Coders (AAPC).

Implementing best practices for ED billing and coding services At XyberMed, we recognize the challenges of ED billing and coding, such as high out-of-pocket costs and the prudent layperson rule. We work with your group to solve them as a business partner.

Our certified coders work with you 24/7 to prevent problems caused by incorrect modifier usage, as well as educate your in-house billing specialist on how to avoid them. We also look for unbilled discharges in their entirety to identify unbilled procedures and improve reimbursement.

The cost of our services is often covered by additional reimbursements for services that EDs leave on the table. To do this, we focus on efficient, streamlined processes that reduce the time required to correctly bill ED services.

We have built our approach using modern technology, and the team is focused on providing data-driven solutions that help reduce denials and increase revenue.

Benefits of our emergency billing and coding services We bring excellence, insight, and accuracy to ED billing and coding services while building a flawless revenue cycle for your practice. With patient demographic data entry, insurance verification, insurance authorizations, coding, billing, and account reconciliation, our medical billing process can add value to your organization. Our team strives to introduce a frictionless billing, coding, claims submission, and payment posting process. We ensure consistent accounts receivable tracking and pre-authorization to avoid claim denials. Our denials management team's number one priority is to shift your focus from denials management to denials prevention. We offer you a group of specialists who are: