From Texas to nationwide — we help hospital EDs, freestanding ERs, and ER physician groups capture every dollar their high-acuity charts have earned. Facility + pro-fee, coded and billed by ER specialists.
Purpose-built for ER economics — high acuity, high volume, complex payer mix. Our specialists know EMTALA, downcoding traps, and the difference between facility and pro-fee dollars.
Complete revenue cycle for hospital EDs and freestanding ERs — charge capture, claim scrubbing, payer follow-up, and EOB reconciliation across both sides of the split-bill.
Accurate E/M leveling under current CMS & AHA guidelines, critical care time capture (99291/99292), procedure coding, and modifier accuracy — no downcoding, no compliance risk.
High-acuity chart specialists who understand time-based coding, resuscitation, intubations, central lines, and multi-system trauma — capturing every billable minute.
Aggressive appeals on ER-specific denials — level-of-care disputes, prudent layperson standard, out-of-network balance protection, and payer downcoding pushback.
Independent chart audits, documentation improvement, and provider education focused on ER workflow — close revenue leaks without slowing your doctors down.
Credentialing, enrollment, monthly KPI dashboards, and payer contract analysis built around ER metrics — RVUs per visit, collection rate by payer, denial trends.
Under-coded charts leave premium dollars on the table. Over-coded ones invite RADV audits. Our CRC-certified team walks the line between the two — capturing every legitimate condition, backed by MEAT-compliant documentation.
The No Surprises Act changed everything for out-of-network ER billing. Payers routinely lowball QPA-based payments — we file, negotiate, and win the IDR process to recover what your care is actually worth.
Whether you run a single freestanding ER in Houston or a multi-site emergency physician group across the country, our specialists code and bill exclusively for ER economics.
Type A & Type B facility coding
OON-friendly billing & recovery
ER + observation revenue capture
Pro-fee billing & RVU reporting
Split-level billing done right
Local expertise where it matters, national scale where you need it.
We’re not generalists dabbling in emergency medicine. ER is our discipline, and it’s backed by the operational depth of Everest AR Management Group.
Nearly three decades billing and coding exclusively for emergency medicine — we’ve seen every payer play, every denial pattern.
First-pass acceptance backed by ER-trained scrubbers and multi-level QA. Fewer denials, faster cash.
Not one of many verticals — the only vertical. AAPC-certified coders trained on ED workflows and EMTALA compliance.
Coding, billing, denials, credentialing, and reporting under one Everest AR roof — no vendor patchwork.
We review a sample of your charts and payer data, then show you exactly where revenue, compliance, or accuracy is leaking.
HIPAA-compliant access to your EHR/PM system, ER coding guideline alignment, and a dedicated account lead.
ER-specialized coders and billers work your charts and claims daily with multi-level QA and SLA-backed turnaround.
Monthly ER-specific dashboards, provider documentation feedback, and quarterly business reviews.
Get a free, no-obligation ER revenue consultation — accuracy, compliance risk, and missed dollars in black and white.