Emergency Department Billing | ED RCM

Emergency Department Coding and Billing Services

The department of a hospital responsible for the provision of medical and surgical care to patients arriving at the hospital in need of immediate care. Emergency department personnel may also respond to certain situations within the hospital such cardiac arrests. Due to the patient flow’s unplanned nature, the ED department must provide initial treatment for a broad spectrum of illnesses and injuries, some of which may be life-threatening and require immediate attention.

Emergency Department Coding and Billing Services:

Splinting

Laceration repair

Closed fracture reduction

Incision & Drainage

Intravenous or Intraosseous Access

Lumbar puncture

Arthrocentesis, Paracentesis

Digital Nerve Block

Chest Tubes, NG/OG Tubes, Endotracheal Intubation, ABG

Foley Catheter Placement

Control of bleeding, Nasal Packing, etc.

Synergy HCLS Emergency Department Coders

Apply accurate, complete and consistent coding practices.
Assign and report only the codes that are clearly and consistently supported by the coding documentation. This documentation can include forms, records and other electronic and/or scanned images of clinical procedures and other medical services.
Adhere to ICD coding conventions and the official coding guidelines approved by the Cooperating Parties.
Follow CPT rules established by the American Medical Association, and any other official coding rules and guidelines established by the industry.
Seek clarification and proper documentation from the provider prior to assigning codes when documentation is conflicting, incomplete or ambiguous.
Are credentialed through AHIMA, AAPC or other accredited professional coding organizations and follow all procedures necessary to maintain these credentials. ‍

We apply best practices for ED Billing & Coding Services

At Synergy HCLS, we recognize ED billing & coding challenges, such as high out-of-pocket expenses and the prudent layperson rule. We work with your group to solve them as a business partner.

Our certified coders work with you to prevent problems caused by incorrect use of modifiers, as well as educate your in-house billing specialist on how to avoid them.

We also look for discharges not fully billed (DNFB) to identify unbilled procedures and improve reimbursements. Our services cost is often covered many folds by the additional reimbursements for services that Emergency Departments leave on the table. We do this by focusing on efficient, streamlined processes that decrease the amount of time needed to bill emergency department services correctly.

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

We also provide following services to Emergency Department

AR and Payment Posting

Denial Management

Physician Credentialing

Medical Record Transcription

Medical Summarization

Healthcare Software Experience

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