Emergency Medicine Medical Billing & Credentialing Services

Advanced RCM & Credentialing Solutions for Emergency Departments, Urgent Care, and Trauma Teams

Emergency medicine billing isn’t just fast-paced in the ER — it’s equally urgent on the back end. From accurate CPT/HCPCS code capture under pressure to managing split/shared visits, modifiers, trauma activation fees, and high-volume coding, the complexity is unmatched. Oakview Medical Billing Solutions specializes in real-time, compliant, and revenue-driven billing for emergency medicine providers, departments, and physician groups.

Whether you're an independent ER physician, an emergency group practice, or a hospital-employed provider, our systems ensure accurate documentation, faster reimbursement, and end-to-end revenue cycle visibility.

Emergency Medicine Billing Challenges We Solve

Emergency medicine has its own set of pain points — Oakview is built to solve them:

High-Volume Coding: Emergency medicine requires real-time CPT, ICD-10, and HCPCS coding accuracy for thousands of encounters monthly.
Level of Service Conflicts: Proper use of E/M codes (99281–99285) based on complexity, time, and documentation.
Critical Care Coding: Capture of 99291–99292 for critical care time, including add-on and bundled procedures.
Trauma Activation Fees: Proper use of trauma team activation codes (e.g., G0390), billing based on trauma registry & documentation.
Split/Shared Services: Navigating documentation for split services between physicians and advanced practice providers.
Observation vs. Inpatient Confusion: Revenue loss from improper POS coding and level of care misclassification.
Facility vs. Professional Fee Billing: Ensuring split-billing is accurate between hospital and provider groups.

Our experienced ER coders use real-time chart auditing tools, AI-driven code prediction, and compliance safeguards to prevent denials and ensure optimized billing.

Common Emergency Medicine CPT Codes

Emergency Medicine Credentialing Services

Credentialing ER providers involves unique challenges due to hospital affiliations, multi-state licenses, and payer-specific trauma rules. Oakview handles credentialing for:

Independent ER physicians (MD/DO)
Group practices serving multiple facilities
Physician assistants (PAs) and nurse practitioners (NPs)
Trauma team surgeons and intensivists
Locum tenens & contract providers

We manage:

✔ CAQH updates & NPI registration
✔ State license & DEA tracking
✔ Medicare/Medicaid ER enrollment
✔ Commercial insurance paneling (BCBS, Aetna, Cigna, UHC, etc.)
✔ Trauma-specific payer agreements
✔ Hospital privileging document support

Emergency RCM Services: Why Oakview?

With emergency services, you need speed, precision, and experience. We provide:

24-hour coding turnaround
Dedicated ER billing team
Hospitalist & ER claim coordination
Real-time claim scrubbing & compliance audit
ERA, EFT & denial analytics
Appeals for downcoded critical care or bundled services
Monthly payer trend reporting

We’ve helped emergency groups recover thousands in lost trauma activation revenue and shorten A/R cycles by over 40%.

Who We Support

Hospital-based emergency physician groups
Trauma centers & regional ERs
Urgent care and freestanding ERs
Contract ER providers and locum tenens
Pediatric emergency departments
Rural access hospitals & critical access ERs

Compliance & Accuracy — Always

Emergency departments are high-risk audit zones. Oakview’s certified coders and compliance specialists ensure:

✔ Accurate medical necessity documentation
✔ Modifier audits to prevent bundling penalties
✔ Compliance with CMS & commercial payer rules
✔ HIPAA, PECOS, CAQH & state board adherence

Let Oakview Be Your Emergency RCM Lifeline

Time matters — in the ER and in your revenue cycle. Oakview Medical Billing Solutions is trusted by emergency medicine professionals nationwide for high-performance RCM, billing, and credentialing support.

Contact us today to optimize your emergency medicine billing and credentialing workflow — and get paid faster, cleaner, and smarte