Emergency Medical Billing Services
Emergency medical billing is unique compared to all other medical billings, the patient comes without any prior appointment either on an ambulance or on their own. Emergency room billing challenges are extensive because patients are admitted immediately without any insurance information. Emergency Rooms (ER) need experts of wide variety and extensive experience who can deal with emergency situations to save patients life. As per federal law especially Emergency Medical Treatment and Labor Act (EMTALA) mandates that ER doctors provide emergency care to any patient arriving at emergency room regardless of patients’ insurance status.
Legion Healthcare Solutions (LHS) deals with emergency medical billing at two levels, firstly with an insurance company and then with the patient directly. The process may further be complicated if the patient needs long-term care, where the patient’s procedure may change. Most insurance companies avoid credentialing with ER, because of variable costs related to a patient.
“When it comes to ER billing LHS has to completely be at a different level, if any third-party ambulance is bringing the patient in, we have to document that along with the initial patient condition. Most patients who arrive at ER are in subdued state which means the least information doctors get from looking at physical injury will be provided to us. However, the bigger challenge comes with AR from insurance company or patient.”
– Medical billing manager at LHS