I-Med Claims - Medical Billing Company
Emergency rooms vs urgent care billing

A Comprehensive Guideline To Emergency Room Billing

Congestion in emergency rooms (ERs) is widespread, owing primarily to visits for circumstances that can be treated more effectively by primary care physicians or an urgent care centre. This can save them money on out-of-pocket expenses and prevent them from waiting longer for care. An emergency is a medical situation that, if not treated immediately, could potentially harm one’s life, limb, or vision. 

Following are some of the most popular reasons for visiting an emergency room:

  • Extensive chest pain
  • Unbearable abdominal pain
  • Difficulty breathing or wheezing
  • Paralysis
  • Gastrointestinal bleeding
  • High fevers or rashes, particularly in children
  • Pregnancy-related vaginal bleeding
  • Vomiting on multiple occasions
  • Poisoning
  • Severe head or eyes injuries
  • Reactions to allergens
  • Unconsciousness


Why Is Going To An Emergency Room A Good Alternative For Life-Threatening Medical Problems?

The above mentioned medical problems are best addressed in an emergency room, where on-site labs, diagnostic imaging tests, and our board-certified physician can assist you.

Advantages of emergency rooms:

  • 24/7 availability 
  • Certified ER physicians, physician subordinates, and nurse practitioners.
  • No wait time 
  • On-site imaging equipment and labs 
When Should You Visit An Urgent Care Clinic?

When you have difficulty, don’t put off seeking medical attention for too long. If your issue isn’t life-threatening or threatening your capacity to work, but you’re worried and can’t see your doctor soon enough, go to an urgent care clinic.

An urgent care clinic can help with the following issues:

Common illnesses including cold, flu, ear infections, throat irritation, migraines, low-grade fevers, and minor rashes.

Sprained ankles, back pain, minor cuts and burns, minor broken bones, or minor eye injuries are all minor injuries.

Emergency Rooms Vs Urgent Care 

The choice between going to an emergency room and an urgent care clinic is sometimes based on financial affordability, but more often than not, it is based on comfort. People need medical treatment whenever and wherever they can get it. With 5,000 emergency rooms available 24 hours a day, 365 days a year, they are the most suitable option.

One visit to a hospital emergency room can charge between $100 and $150, based on the quality of treatment. Urgent care centre visits are almost always covered by medical insurance, requiring only the standard co-pay. Even if the co-pay is $50, it is still far less expensive than a hospital visit. Of course, expenses for either treatment centre are significantly higher for uninsured people. Average visit time at an emergency room is about 2 hours and 15 minutes from when patients arrive until they are treated and dismissed. In contrast, urgent care centre visits are of about 30 minutes.

Emergency Room Bills Guidelines

Here are some possible solutions to the ER billing problems:

Speak with the billing department:

Most hospitals charge different prices for the same process. Request that they bill you at the lowest possible rate. Then inquire about other types of agreements they may be willing to make.

Request itemized accounting:

On emergency room bills, mistakes do happen. It could be for medications that were never administered, processes that were never completed, and so on. Request that your primary care doctor or nurse review bill and determine whether all of the items make sense for your process.

Request a payment plan:

Healthcare facilities do not want the bill turned over to a collection company. Inform them how much you can pay monthly and see if they’ll work with you.

Financial assistance programs:

Inquire with the hospital if they are affiliated with any charity organizations that provide financial assistance to people requiring assistance with medical bills.

Crowdfunding the bill:

Crowdfunding websites such as Giveforward.com, Fundly.com, and youcaring.com are targeted specifically at assisting people in managing medical debt. If the bill is in the five-figure range, post it on a crowdfunding platform and see how many people are ready to help.

Consider filing for bankruptcy:

There’s a purpose that medical debt is the major cause of bankruptcy. If you go to the ER for a disastrous situation and are hospitalized, your total debt can rapidly become complicated. Speak with a bankruptcy lawyer. Medical bills are unprotected and can be discharged in case of a successful bankruptcy filing.

Consult a non-profit credit counsellor:

Consolidating medical debt is generally not a good idea except if you owe other lenders. Credit counselling organizations may be able to solidify your debts into a single payment.

Why Should You Choose Us for Emergency Room Billing?

We offer a comprehensive set of emergency medical billing that is specifically suited to the healthcare organizations. We have a track record of success working with short and long-term care centres ranging from hospital emergency rooms to multiple institutions and specialty programs. Our team has extensive experience in the healthcare industry and understands the complexities of the emergency room billing process.

Our Emergency Room Billing Services has the following key features:
  • Experience and talented emergency room billing team.
  • Negotiation outside of the network.
  • AR monthly analysis report in depth.
  • Systematic and regular quality assurance audit reports.

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