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It has been observed that for emergency room and urgent care providers, the collection of payment is becoming more complex owing to the increasing number of payers. As a result which scope of the capacity of payable charges appears to be diminishing. Emergency medicine is widely different from other specialties of healthcare, specifically when there are factors like reimbursement, payer mix, and others that are responsible to strengthen the business model. Emergency Room (ER) services are blessings for medical conditions, which need quick action like sudden illness or injury. Treating patients is a primary objective of Emergency Departments (ED), however, many of them fail to understand the challenges in emergency room medical billing.
Emergency room medical billing is considered one of the critical challenges for healthcare organizations and physicians. It encompasses the claims processing for different medical procedures executed by a physician to payers. A very minute error in insurance claims and medical bills can result in claim denials, which is expected to impact the cash flow and profit of a healthcare practice.