Medical billing is never simple—but for emergency rooms and urgent care facilities, it’s an entirely different world. While many billing companies take a generalized, one-size-fits-all approach, episodic care demands a level of specialization that most vendors simply can’t provide. The result? Lost revenue, delayed payments, compliance risks, and frustrated providers.
If your emergency room or urgent care facility is relying on a billing partner who doesn’t deeply understand the fast-paced, high-stakes environment of emergency and urgent care, you could be leaving hundreds of thousands on the table every year.
Here’s why you need a billing company that specializes in episodic care—and how 360 Medical Billing Solutions delivers what others can’t.
Why Generalist Billing Services Fall Short
Most billing companies are designed for scheduled care environments—primary care practices, specialist groups, or outpatient clinics that operate with predictable patient flow and standardized billing cycles. Emergency and urgent care are completely different.
Here’s what generalist services typically lack:
- Experience with episodic care coding and documentation
- Processes built for high-volume, same-day encounters
- Understanding of trauma activation, critical care, and E/M level intensity
- Knowledge of payer behavior with emergency departments and freestanding ERs
- Ability to act quickly on denials and pursue underpaid claims through IDR or other channels
These limitations often lead to increased denied claims, lower reimbursements, and missed revenue opportunities for ER and urgent care facilities.
Why Episodic Care Billing Requires a Custom Approach
Unlike scheduled care, episodic care involves:
- Unscheduled, time-sensitive encounters
- Rapid chart completion and charge capture
- Complex documentation requirements
- Critical care coding and high-level E/M services
- Patient billing for services often performed before insurance validation
- High patient volume with minimal financial screening at intake
Because of this, billing must be fast, accurate, and aggressively managed, or facilities risk losing payment altogether. Generalist firms often lack the infrastructure, training, and systems to manage this kind of billing effectively.
The 360 Medical Billing Solutions Advantage
At 360 Medical Billing Solutions, we’ve built our entire model around the unique needs of emergency and urgent care providers. Our team has 25 years of experience supporting freestanding ERs, hospital-based emergency departments, and high-volume urgent care centers across the U.S.
Here’s what sets us apart:
Tailored Processes for Episodic Care
We’ve developed customized billing workflows designed to handle the speed, complexity, and variability of emergency and urgent care billing.
Rapid Claims Management
Our systems allow for daily charge retrieval, error flagging, and fast claim submission, helping to shorten the billing cycle and increase cash flow.
Specialized Support for Trauma & High-Acuity Services
We understand the nuances of critical care, observation, procedures, and trauma activations, and coordinate with expert coders who ensure documentation meets all payer expectations.
Advanced Technology for Billing and Reporting
Our advanced medical billing software supports automated claim submission, built-in error detection, customizable reports, and seamless payer communication.
Payer Engagement and Appeals
We don’t just submit claims—we track them, follow up, and fight for every dollar. From underpayments to NSA-related disputes, we help maximize reimbursement.
Streamlined Patient Payment Services
Text-to-pay, email billing, and online portals help speed collections and enhance patient satisfaction while reducing staff burden.
What It Means for Your Facility
Working with a billing partner that understands episodic care can help your ER or urgent care facility:
- Increase net collections and reduce A/R days
- Prevent denials and underpayments before they happen
- Stay compliant with regulations like NSA, EMTALA, and HIPAA
- Improve operational efficiency
- Provide better billing transparency to patients
Why Settle for Less Than Specialized?
Generalist billing services are not built for your world. If you want to improve revenue, stay compliant, and reduce stress across your organization, the solution is clear: partner with a billing team that lives and breathes emergency services and urgent care.
360 Medical Billing Solutions: Built for Episodic Care
We offer full-service revenue cycle management tailored specifically for:
- Emergency departments
- Freestanding ERs
- Urgent care facilities
And we do it with:
- Advanced medical billing software
- Daily HL7 data integration
- Payer engagement and appeals
- Patient payment services
- Regulatory compliance support
- Contract and fee schedule review
- Little to no out-of-pocket cost for most services