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Our Services

Emergency Billing

Gladmed RCM is perfect partner for Emergency billing. We have 3000+ expert team who have more than 10 years of experience in Emergency billing.

Emergency Medicine Billing Services – Gladmed RCM

Precision Billing for Critical Care
Emergency departments (EDs) handle life-saving interventions around the clock. But billing for these urgent services is incredibly complex—comprising multiple procedures, facility charges, evaluations, and diagnostics—all under tight time constraints. At Gladmed RCM, we streamline emergency medicine billing so your clinicians can concentrate on patients, while we safeguard your financial health.
Why Gladmed RCM Excels at ER Billing
  • 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.

Core Services for Emergency Billing
Service ComponentDescription
Accurate E/M & Procedure CodingExpert application of ICD-10, CPT codes, modifiers, and facility fees to reflect accurate clinical complexity.
Insurance Verification & Prior AuthorizationEnsures upfront coverage validation, reducing surprises and payment denials.
Claim Scrubbing & SubmissionReal-time claim validation minimizes rejections, expedited via clearinghouse integration.
Denial Management & AppealsProactive tracking and structured appeals to recover denied claims.Quest MBSMedheave
AR Follow-up & Payment PostingEnsures timely payment posting and resolution of outstanding accounts.
Compliance Audits & Regulatory UpdatesMaintains HIPAA, payer, and EMTALA compliance with scheduled coding reviews.247medicalbillingservices.com
Addressing Emergency Billing Challenges
  • 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.

The Gladmed RCM Difference
  • 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.

Focus on Care—We Handle the Billing

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

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