Emergency Billing,
Engineered for Precision.
ED E&M Leveling
Scanning Zone...Select an ED focus area on the scanner or list below to reveal the specific E&M leveling, critical care rules, and procedural documentation standards our certified coders master to secure your revenue.
ED E&M Leveling (99281-99285)
Precision leveling based on 2023 Medical Decision Making (MDM) guidelines. We ensure high-acuity cases are billed appropriately at levels 4 and 5 by meticulously capturing all independent historian data, test interpretations, and risk factors.
Critical Care (99291-99292)
Rigorous management of time-based critical care codes. We audit provider documentation to guarantee the mandatory 30-minute threshold is met and ensure bundled services are correctly separated or appended with Modifier 25.
Observation Services
Navigating the complex 8-hour, 24-hour, and midnight rules for patient observation. We accurately code admit/discharge scenarios (99234-99236) to prevent denials when ED patients are held for extended monitoring before admission or release.
Trauma & ED Procedures
Capturing every billable intervention. We meticulously abstract physician narratives to identify unbilled point-of-care ultrasounds (POCUS), complex laceration repairs, CPR, intubations, and fracture care.
Emergency Billing is Complex.
We Make It Profitable.
Targeted E&M Downcoding
Payers aggressively downcode level 4 and 5 ED visits (99284/99285) if the medical decision making (MDM) or history components are vaguely documented, causing massive revenue drops.
The HBS Solution
Critical Care Time Edits
Billing for critical care (99291) gets rejected if the physician’s time log includes bundled services (like CPR or intubation) or fails to meet the strict 30-minute minimum.
The HBS Solution
We implement strict time-log verifications. Our team separates total critical care time from separately billable procedural time, applying Modifier 25 correctly to ensure all life-saving interventions are paid.
Missed Bedside Procedures
The HBS Solution
The HBS Emergency Advantage
98% First-Pass Clean Claim Rate
Our proprietary scrubbing engine catches modifier 25 errors, bundled procedure violations, and incomplete MDM criteria before the claim ever leaves our system.
48-Hour Turnaround
ED volume requires speed. We guarantee that your charts, from fast-track to level 5 traumas, are coded and billed within 48 hours of receipt.
E&M Bell Curve Management
We analyze your physician group's coding habits against national CMS bell curves, providing targeted education to prevent both undercoding and audit risks.