Emergency Medicine

Emergency Medicine Revenue Cycle Experts

INTELLIGENT REVENUE OPERATIONS FOR HEALTHCARE

Emergency medicine billing for outcomes that matter

Specialty-trained emergency medicine billing experts, custom RCM workflows, and purpose-built technology designed for the realities of ED revenue: unscheduled volume, payer downcoding, out-of-network disputes, and a patient population you treat before coverage is ever confirmed.

Emergency medicine is different

Emergency medicine billing spans high-acuity E/M and critical care coding, No Surprises Act compliance, IDR claims, and out-of-network resolution across an unscheduled, EMTALA-mandated environment. Because every patient must be treated, reimbursement depends on navigating complex payer requirements, defending appropriate reimbursement, and managing prolonged IDR disputes. Coronis Health helps emergency medicine groups protect revenue through specialty expertise and operational discipline built for the complexity of emergency medicine reimbursement.

Expertise you can rely on

Built for every emergency medicine model

Emergency medicine organizations vary widely in how they contract, staff, and bill. Our specialty teams support the operational and reimbursement needs of emergency medicine groups across every practice model.

Independent emergency department groups
Hospital-employed emergency physicians
Freestanding emergency departments
Micro-hospitals
Observation medicine
EM/hospitalist integrated programs

why emergency medicine groups choose coronis health

We speak emergency medicine.

Emergency medicine revenue cycle management requires more than billing experience. Coronis Health pairs specialty-trained emergency medicine experts with the systems to operate at scale, and holds itself accountable to the results that matter to your group.

Specialty focused, partnership-driven

Our team specializes in emergency medicine: E/M leveling, critical care documentation, prudent layperson downcoding appeals, No Surprises Act compliance, and IDR strategy, not a generic playbook stretched across a dozen specialties. You're treated like a partner, not a ticket number.

Built for emergency medicine, at scale

We combine deep emergency medicine expertise with the technology and infrastructure to operate at scale: analytics and automation that surface payer downcoding patterns, denial trends, and IDR outcomes by payer, without losing the specialty focus.

Proven, not promised

We hold ourselves accountable to outcomes for every emergency medicine group we work with: cleaner claims, stronger collections, and performance you can measure.

Coronis Health has streamlined our processes and helped us understand our own business in a way that supports planning and change. They are the partner we’ve always needed, and the entire team is top-notch.

Healthcare COO

resource hub

Case studies, insights and resources

Explore expert perspectives, industry developments, and client success stories shaping the future of emergency medicine revenue cycle management.

Article

Split/Shared Billing in Emergency Medicine: Why Attestation Matters More Than Ever

Time tracking is nearly impossible in a typical ED setting. Providers manage multiple patients, shift between roles and rarely engage in linear, trackable encounters.…

Webinar

Coding with Confidence: Navigating Critical Care in the ED Webinar

Learn to accurately identify, document, and code critical care services in the ED. Gain practical tips, case examples, and tools to improve compliance and…

Case Study

$19M

record monthly cash flow, achieved

How a leading healthcare organization strengthened revenue capture and accelerated collections to help achieve record-breaking monthly cash flow.

Read Case Study

what we offer

Intelligent revenue operations for emergency medicine, end-to-end

Our Intelligent Revenue Operations model combines specialty expertise, operational execution, and innovative technology to improve financial performance across every stage of the complex emergency medicine revenue cycle.

Front-End Revenue Readiness

Manage Provider & Payer Services

We help ensure emergency physicians and APPs are enrolled, credentialed, and billing-ready across your full payer and facility mix, including the enrollment churn that comes with high-turnover, multi-site ED staffing.

Provider enrollment for physicians and advanced practice providers
Credentialing & recredentialing
Multi-facility enrollment management
Payer maintenance
Contract support, payer rate benchmarking and hospital subsidy analytics

Strengthen Patient Access

We identify coverage after the patient arrives and resolve eligibility and authorization issues as early as possible, reducing preventable claim issues before they become downstream collection problems.

Real-time eligibility verification & re-verification
Insurance discovery for unknown or missing coverage
Retroactive Medicaid eligibility & enrollment assistance
Demographic capture quality assurance
Contact center
Post-visit patient collections workflows

Mid-Cycle Revenue Integrity

Sharpen Coding Accuracy

We help protect reimbursement with EM-certified coders who understand exactly where payers attack ED claims: leveling, critical care, and modifier use.

E/M leveling under the current CMS-adopted CPT (AMA) guidelines
Critical care coding (99291/99292) with audit-ready documentation support
Modifier accuracy for E/M-plus-procedure encounters (25, 59, X-modifiers)
Professional fee coding aligned with facility claims to prevent payer mismatch reviews
Observation and EM/hospitalist crossover coding
Clinical documentation improvement (CDI) tuned to complexity, risk, and MDM capture
Coding audits & coding education

Optimize Revenue Integrity

Through charge capture oversight, documentation review, and clinical validation, we close the gaps between what emergency medicine services are delivered and what gets billed across every arrival, around the clock.

Charge capture with census-to-claim reconciliation (no encounter left unbilled)
Charge reconciliation
Revenue integrity audits
Documentation review & clinical validation
Procedure and infusion/injection charge validation

Back-End Revenue Recovery

Defend Against Downcoding & Denials

Emergency medicine reimbursement requires more than clean claims. Coronis Health helps groups defend appropriate reimbursement through payer-specific denial prevention, clinical appeals, and disciplined management of No Surprises Act and IDR reimbursement.

Downcoding identification and prudent layperson appeals
Payer-specific denial prevention and claim edits
Documentation support & audit response
NSA negotiations, IDR case management and payment recovery
Payer analytics to reduce recurring reimbursement issues

Improve Cash Flow

We keep emergency medicine revenue moving with disciplined AR management, denial recovery, and specialty-trained collections expertise.

AR follow-up & denial management
Appeals & underpayment recovery
Payment posting
Self-pay AR strategy & patient-friendly collections
Legacy AR cleanup & backlog projects

our technology

Purpose-built technology at the core of our intelligent operating model

From AI agents and workflow automation to analytics and revenue intelligence, our technology connects every stage of the revenue cycle - helping healthcare organizations operate more efficiently, make better decisions, and improve financial performance.

Learn More

Let's discuss your transformation

Wherever you want revenue cycle operations to go, we can help!

step 1

Connect

Tell us about your organization, specialty and revenue transformation goals.
step 2

Evaluate

We'll evaluate your current state and identify strategic opportunities for improvement.
step 3

Transform

Together we'll implement solutions that improve performance from day one.

Talk to a Specialist