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Compliance in Medical Claims Processing

Top 6 Compliance Insights

August 14, 2024

Compliance is EMERGICON’s cornerstone to protect internal processes, partner agencies, and their patients. Based on DHHS’s The 7 Fundamental Elements of an Effective Compliance Program, our Compliance Plan focuses on understanding and staying updated with the laws and regulations governing EMS documentation and billing. Compliance is part of every department in our business,” says Director Nicole […]

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Medical Records Requests - Top 6 Insights

Top 6 Medical Records Insights

August 7, 2024

Facilitating medical records requests is a Value-Added Service that EMERGICON offers to its partners. The Medical Records Department is responsible for addressing attorneys, record retrieval companies, or citizens medical and billing records requisitions. Each Medical Records Specialist embodies EMERGICON’s Texan Touch®, providing personalized and meticulous service. The team works directly with attorneys, record retrieval companies, or […]

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Patient Accounts Insights

Top 4 Patient Accounts Insights

July 31, 2024

The Patient Accounts department often concludes the EMS claim cycle by overseeing all patient correspondence and ensuring a continuum of care. Each Patient Accounts Specialist embodies EMERGICON’s Texan Touch®, providing personalized and meticulous service. The team handles all patient communications, including answering questions, managing complaints, and conducting negotiations. They embrace our mission of supporting first responders and dedicating […]

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Top 4 Cash Applications Insights

July 24, 2024

Following the efforts of the Billing and Accounts Receivable teams, the Cash Applications Department steps in to ensure accurate claim reconciliation. Once healthcare coverage pays the bill, Cash App Specialists reconcile the claim and, when appropriate, bill the balance. Each Cash App Specialist embodies EMERGICON’s Texan Touch®, providing personalized and meticulous service. The team follows a […]

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Top 6 EMS Claim Billing Insights

Top 6 Billing Insights

July 17, 2024

As a crucial part of the EMS claim lifecycle, the Billing Department follows the completion of Pre-Billing tasks. Their primary responsibility is finalizing and sending claims to the designated payers, ensuring that clean claims are promptly processed.   Each Biller embodies EMERGICON’s Texan Touch®, providing personalized and meticulous service. Each Biller’s task depends on a what-who-how context. […]

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Top 4 Accounts Receivable Insights

July 10, 2024

In an ideal EMS claim cycle, the efforts of the Pre-Billers and Billers result in the identified payer settling the charge. However, this is not always the case. When claims are rejected or remain pending for over 30 days, the Accounts Receivable (AR) Department steps in. Each AR Specialist embodies EMERGICON’s Texan Touch®, providing personalized and meticulous […]

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The Top 4 Pre-Billing Process Insights

Top 4 Pre-Billing Process Insights

July 3, 2024

Discover how the Pre-Billing process ensures accurate patient information and seamless health insurance details for EMS providers.

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Outsourcing EMS Billing

The Benefits of Outsourcing EMS Billing

June 26, 2024

Outsourcing EMS billing has been proven efficient, effortless, & profitable for many providers. Read the top five benefits of outsourcing vs in-house billing.

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