Flatworld Solutions has over 18 years of experience in emergency medical solutions. Over the years we have dealt with all the unique challenges faced by emergency medicine groups and therefore have a fair understanding of all that which needs to be done to overcome these challenges. The primary two challenges understanding the priorities and coding and billing accordingly.
As an experienced emergency medicine billing services company, we work with your group, as an extension of your business and help you focus on the core aspects of your business. Our billing process is designed to be accurate enough to ensure there is no denial of claims. We guarantee this with the help of a due procedure which involves seeking prior authorization, followed by accurate coding and due quality checks, to ensure you get fully paid.
Emergency medicine services are services that aim to treat injuries and illnesses that require urgent medical response. It consists of providing either out-of-hospital treatment or in-hospital treatment primarily at the emergency department. It also involves services rendered in the form of transport to definitive care. The goal is to address an urgent medical care or arrange for a timely removal of the patient to the nearest definitive care.
We team up with you to provide the best emergency medicine billing services. We strive to form strong partnership with you. We incorporate complete transparency with communications and information so that all major billing burdens stand removed for your practice. We have worked with numerous clinics and hospitals client to provide timely and correct emergency billing services.
Emergency medicine billing services is quite unlike other forms of medical billing. This is because it is not based on a definitive diagnosis. The need is to treat a patient on their apparent condition which makes certain aspects of the billing very difficult. It relies heavily on the patient care report prepared when the patient is picked up from the place where the need arises. Other aspects that make emergency medicine billing difficult are -
All these together make emergency Medicine billing very challenging and only an experienced service partner can help you get full reimbursement from insurance companies.
We provide a host of emergency billing medicine services. These include -
Our emergency medicine documentation process helps you classify and annotate texts and scans followed by proper indexing and storing. We scan, upload and store the documented files.
With this service we ensure payor specific code is assigned to every treatment and procedure carried out. We get it done through coders who specialize in coding for the payor.
With this service we provide coder reinforcements to help hospitals deal with emergency medicine billing coder shortage. Our coders work 24/7 alongside your coders to ensure all coding backlogs are completed and reviewed on time.
Our emergency medicine coding audits are designed to help you overcome errors in the coding process. Our clients send us the billing documents and our emergency billing experts run a second eye over it spot errors and inconsistencies.
with this service we keep hospitals updated on the account's status with the respect to their emergency departments. The various reports we provide include accounts receivables aging reports, payment trend and collections from the emergency department, patient payment reports, clearing house rejection reports etc.
With this service we help ensure all emergency billing documents and coding are harmonized with HIPAA and OIG requirements as well as the heath care reforms act.
After the hospital or clinic receives an emergency patient and completes initial reporting's of the patient's condition it forwards all information pertaining to the patient to our billing team. These docs include, charge-sheets, insurance verification data and other patient information. The docs are submitted to us as scanned copies through a secure FTP server.
After we are informed by the hospital, our staff will retrieve the information from the FTP server and carry out a meticulous checking for any missing information in the documents. If the information is illegible or inconsistent, our team gets in touch with the emergency department of the hospital or healthcare facility and seeks the docs anew.
After all the corrected docs are obtained, our coding team takes over to code for the treatment and procedures. In this stage our coders affix the right codes for the diagnoses and procedures based on ICD-10 (International classification of Diseases) and CPT (Current Procedural Terminology) standards. Once completed, the doc is viewed by a coding quality team to spot mistakes and inconsistencies. Each doc go through multiple stages of quality checks.
After the quality team validates the code, our medical billing team creates medical claims in strict adherence to rules pertaining to the specific payers and local state rules. The claims creation process is usually created within 24 hours of clearance from the coding quality team.
The final emergency claim docs undergo an extensive auditing session which involves meticulous checking at different stages. In each of the stages the claims are once again checked for complete and relevant information, correct diagnosis and procedures and proper assigning of codes. This is to ensure that the claims do not get rejected because of submission of incorrect/incomplete details.
After a thorough and final check, the emergency medicine claims are sent to the claims transmission department for submission. Here, once again a check is carried out to ensure all the supporting documents needed by the submission team are in place.
The submission team verifies the emergency medicine documents and submits it to the respective insurance agencies and government departments. All supporting documents are scanned and uploaded along with the relevant information for final settlement. The submissions are done by claims submission specialist specializing in handling different payers.
This is the concluding and arguably the most important part of the emergency medicine billing process. Our follow up team chase insurance agencies every day to understand the status of the claims submitted. We stay in touch with the agencies and insurer till the final settlements on the claims are made.
Flatworld uses a wide range of medical billing software that eliminate the need for additional resources to handle repetitive tasks. We automate as many functions possible using the following software -
We offer our services at very competitive pricing, which is why our clients have been able to realize huge cost savings. We assure up to 60% cost savings to our clients. At the same time our well-oiled process ensures you get paid on time and have continued cash flow.
Our emergency medicine billing process is marked by complete transparency. We help you lay your hands on any data and reports 24 hours a day. This empowers our clients with absolute sense of control and unhindered access.
As a premier emergency medicine billing service provider, we keep ourselves updated on the latest changes in regulations and requirements. As a result, we help you always stay compliant and ensure the submission of clean claims.
We have over 18 years of experience in handling emergency medicine billing service for small and large hospitals and clinics. In all the emergency cases we have helped our clients submit accurate bills and get full reimbursements in the shortest possible time.
We have an expert team of AAPC certified, dedicated, and experienced medical billing and coding professionals. All our professionals have over 5 years of multi-specialty coding experience which is why they are well-versed in medical terminology and billing.
We have a dedicated team to handle every process. Our dedicated team handles complex claims like oncology and chiropractic billing. We also have great expertise in emergency medicine billing which includes coding and reviewing.
Our emergency claims process is handled by professionals with years of experience with each payor types. These include Medicaid and Medicare. It is our experience in these areas that give us an upper hand in understanding of each Payor requirement.
We have a track record of around 98% accuracy. All our clients have benefited with our services by way of a steep fall in the number of rejected or denied claims due to medical billing errors. We guarantee this accuracy standard to all types of billing including emergency medicine billing services.
We enhanced revenue generation for an emergency care hospital by undertaking its medical billing tasks to lower the overhead costs. We successfully shrank AR days from 34 to 20 days.
We helped a US based clinic by lowering its AR days were from 34 to 23 days. In just 6 months we increase the collections from 53% to 61%.
After several days of monitoring the encounters, I believe your team has done a great job and we are ready to hand over the task of approving the encounters. I truly appreciate how smooth this process has been. Keep up the great work!Spokesperson,
We have experience working on huge volumes of emergency claims processing. For each client we have worked on different software systems mostly the ones preferred by them. Our healthcare BPO operations are highly flexible and scalable, and we are ready to take any volume of work and submit them with accuracy at the end of the day. No matter how big your work requirements are we will be sending you daily and weekly reports of the emergency medicine billing and payment status. Our commitment to providing customers with the timely and precise billing services is proven and established.
Contact us today to outsource your emergency billing requirements to emergency medicine billing experts and see fewer claims denial.
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