Best Medical Billing Company in us
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Certified Emergency Billing Experts
Our coders are deeply versed in emergency medicine ICD-10, CPT, and HCPCS nuances, including high-acuity evaluation and management levels, modifiers, and critical care documentation.
Seamless Revenue Cycle Management (RCM)
We manage every step—from eligibility verification and documentation audits to claim submission, denial resolution, and payer reconciliation—to keep your revenue cycle flowing smoothly.
Compliance & Payer Alignment
Our processes align with regulations like EMTALA and the No Surprises Act, and we ensure accurate billing across Medicare, Medicaid, and commercial plans.
Fast Turnaround & Clean Claims
Through advanced scrubbing, pre-billing audits, and automated workflows, we reduce errors and accelerate reimbursements.
Real-Time Analytics & Visibility
With dashboards tracking accountability metrics like denial rates, AR days, and clean-claim ratios, you stay informed and empowered to make data-driven decisions.
Service Component | Description |
---|---|
Accurate E/M & Procedure Coding | Expert application of ICD-10, CPT codes, modifiers, and facility fees to reflect accurate clinical complexity. |
Insurance Verification & Prior Authorization | Ensures upfront coverage validation, reducing surprises and payment denials. |
Claim Scrubbing & Submission | Real-time claim validation minimizes rejections, expedited via clearinghouse integration. |
Denial Management & Appeals | Proactive tracking and structured appeals to recover denied claims.Quest MBSMedheave |
AR Follow-up & Payment Posting | Ensures timely payment posting and resolution of outstanding accounts. |
Compliance Audits & Regulatory Updates | Maintains HIPAA, payer, and EMTALA compliance with scheduled coding reviews.247medicalbillingservices.com |
High-Volume, High-Complexity Encounters
EDs see wide-ranging workflows—from minor injuries to trauma—requiring precise, multi-component billing.
Poor Documentation Under Pressure
Clinicians under intense workloads may omit vital details. Our team supports documentation completeness with CDI integration and provider training.
Verification Gaps
Missing or incorrect insurance data at intake often leads to denials. We implement real-time eligibility checks to avoid such setbacks.
Complex Denials Landscape
Denials stemming from medical necessity, documentation deficiency, or coordination of benefits are common. Our structured denial workflow helps recoup more revenue.
Dedicated Expertise – Emergency billing specialists with targeted training and credentials.
Technology-Driven Efficiency – Real-time eligibility, claim scrubbing, and analytics.
Transparent Reporting – Gain clarity into your financial health with intuitive dashboards.
Compliance-First Approach – Fully aligned with federal regulations like EMTALA and billing best practices.
With Gladmed RCM, your ED staff can dedicate themselves to delivering excellent acute care, not billing paperwork. Let us:
Reduce billing delays and denials
Enhance cash flow with clean, timely claims
Ensure compliance with evolving regulations