Credence provides specialized emergency room (ER) billing services to healthcare organizations across the United States. Leading healthcare systems trust Credence to manage the complex financial operations of both:
- Freestanding Emergency Rooms
- Hospital-Based Emergency Rooms
Freestanding emergency rooms have grown rapidly—particularly in Texas—as they expand access to emergency care for local communities. While these facilities play a vital role, emergency room services are among the most complex to bill and reimburse. Accurate coding, payer-specific regulations, and out-of-network negotiations make ER billing especially challenging. Credence ensures maximum reimbursement while maintaining compliance.
Emergency Room Medical Billing Services We Offer
Credence specializes in emergency room billing and out-of-network reimbursement strategies, offering expertise that many traditional billing companies lack. Our comprehensive ER billing services include:
- Patient eligibility and benefits verification
- Medical coding and chart auditing
- Charge entry
- Claims submission
- Insurance negotiations
- Aggressive claims follow-up
- Accounts receivable (AR) recovery
- Appeals for underpaid claims
- AR analysis and reporting
- Patient billing services
- THCIC System 13 state data reporting
By automating ER billing workflows and aligning coding with payer regulations, Credence helps increase cash flow and significantly reduce claim rejections. Our proven out-of-network negotiation strategies connect you with the right payer representatives to secure maximum reimbursements.
Emergency Room Revenue Cycle Management Process
Emergency Room Revenue Cycle Management (RCM) is a complex, end-to-end process that begins at patient intake and concludes with full payment collection. As a trusted emergency room RCM service provider, Credence delivers accurate, efficient, and compliant ER billing through a structured and systematic workflow.
Our emergency room billing process includes:
- Advanced EHR and RCM software integration
- Insurance eligibility verification
- Patient pre-certification and prior authorizations
- Accurate demographics and charge entry
- Co-payment and deductible calculation
- Timely claim filing
- Reimbursement tracking
- Out-of-network negotiations
- Denial management
- ER billing and collection services
- Insurance appeals for denied and underpaid claims
- Refund management
RCM Software and EHR Platforms Supported
Billing software and EHR systems are critical components of effective revenue cycle management. Manual billing processes are time-consuming and prone to error, while modern medical billing software improves efficiency in coding, claim submission, and reimbursement tracking.
With years of healthcare industry experience, Credence tailors its emergency room billing services to meet the specific needs of healthcare providers. Our billing specialists are proficient in working with all major medical billing and EHR platforms, including:
ePowerDoc, TSystems, CollaborateMD, Medisoft, Medical Manager, Docutap/Experity, eClinicalWorks, NextGen, AdvancedMD, Kareo, GoRev, Elligence, and many more.
