An emergency department, also known as an emergency room, is a medical treatment facility specializing in emergency medicine. Emergency medicine is the acute care of patients who present without a prior appointment, either by themselves or by an ambulance. One can find an emergency department in a hospital or primary care centers.

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.

Typical Issues in getting reimbursed for ED services


Emergency medicine billing services are highly unique compared to other forms of medical billing. The complexity is due to the unpredictable nature of patient intake. It relies heavily on the patient care report prepared when the ambulance picks up the patient from where the need arises

Typical issues with ED billing are:

Medical Billing & Coding Services Expertise in ED Billing & Coding

At MBW, we have a client base that spans across all 50 states, covers a wide range of hospitals, physician practices, and medical billing companies. We employ our experience and knowledge acquired through a decade of working with ED doctors in fixing & improving your revenue cycle. Our coders are proficient in ICD-9/10, CPT, HCPCS coding guidelines provided by CMS and AMA, and are certified by the American Academy of Professional Coders (AAPC).

Applying best practices for ED Billing & Coding Services

At MBW, 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 24/7 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 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.

Benefits of our ED Billing and Coding Services

We bring excellence, knowledge, and accuracy to ED billing and coding services while building a revenue cycle devoid of defects for your practice. With patient demographics entry, insurance verification, insurance authorizations, coding, billing, and reconciling of accounts, our medical billing process can add value to your organization. Our team strives to introduce a friction-free billing, coding, claim submission, and payment posting process. We ensure consistent accounts receivable follow-up and prior authorization to avoid claim denials. Our denial management team’s #1 priority is shifting your focus from denial management to denial prevention. We bring you a group of specialists who are:

Our clients typically see an improvement in revenue by 30% and a reduction in denials by a minimum of 10%. We achieve this by applying our expertise, process rigor, latest technology and by employing an excellently trained team.