Freestanding ERs operate differently from hospital-attached emergency departments—and your billing process should too. From payer negotiations to out-of-network claims, you face complex challenges that general billing companies aren’t equipped to solve. That’s why 360 Medical Billing Solutions focuses exclusively on freestanding emergency room billing and other episodic care services.
Freestanding Emergency Room Billing That Drives Profitability and Operational Flow
Specialized Episodic Care Billing for Freestanding Emergency Departments Nationwide
With over 25 years of experience, we’ve helped both independent and affiliated freestanding emergency departments enhance collections, streamline operations, and alleviate billing-related stress—all while maintaining compliance and improving patient satisfaction. We specialize in scalable, high-performance physician billing services designed to support your growth across multiple locations or high-volume facilities.
📈 Most billing clients see a 15–30% increase in net collections within the first 90 to 180 days of onboarding, depending on payer mix, denial volume, and operational workflow.
Our comprehensive solutions include:
- Electronic claims processing and posting
- Healthcare clearinghouse integration
- Medical billing software integration and support
- Customized reporting for A/R and collections
- Contract and fee schedule review
- Managed care contract negotiation
- Medical billing consulting services
- Compliance support and education
- Patient billing support with multiple payment methods
- Scalable systems for multi-location ER operations
⚠️ Note: While we don’t offer coding services in-house, we work with trusted certified coding specialists to support accurate documentation and compliance.
Your Freestanding ER Benefits From:
Accelerated Claims Processing
Faster turnaround times to accommodate the high pace and independent nature of freestanding emergency departments.
Daily Reimbursement Visibility
Get updated billing metrics, payer trends, and denial summaries every 24 hours to stay ahead of cash flow disruptions.
Specialized Compliance Safeguards
Custom compliance workflows designed for standalone ERs—helping you meet both hospital-grade and freestanding-specific billing regulations.
Dual-Level Billing Expertise
We support both facility-level billing and physician group claims under one unified, optimized strategy for your location.
What Sets 360 Apart in Freestanding Emergency Room Billing Services
Most billing companies focus on the “easy dollars.” We fight for every dollar—easy and hard. That’s what makes us a true medical billing specialist.
Our robust appeals processes, experienced aged accounts team, and real-time claim tracking help you reduce denials, shorten reimbursement cycles, and increase profitability.
With 360, you’re not just getting emergency billing solutions—you’re gaining a long-term partner. Every client is assigned a dedicated medical billing specialist who understands payer trends, revenue cycle goals, and the nuances of freestanding ER billing.
Built for Efficiency and Growth
We implement automation and best-in-class support tools to help your emergency center run like a well-oiled machine. Our integration with leading medical billing software and healthcare clearinghouse platforms allows for:
- Seamless claim submission
- 24-hour payment posting
- Unified reporting across multiple ERs
- Easier compliance tracking
- Reduced manual entry and administrative burden
We also support strategic growth through ongoing medical billing consulting services designed to help you expand with confidence.
This is episodic care billing done right—for freestanding ERs that want to scale.
Client Testimonials
Bill Pay Patient
I contacted your company in reference to a medical bill on Tuesday, July 19th, 2022. I spoke with Anthony about my bill. What an asset this gentleman is to your company. In this crazy world we live in now, many people that deal with the public have lost their ability to listen, the ability to con...
Client in Houston, TX
I wanted to thank y’all for our best December revenue month ever, which was also our second highest revenue month in 3.5 years of operation. I notice that you somehow have convinced Blue Cross to routinely pay us at in network rates or higher for our group which contributed to record payments fro...
Bill Pay Patient
It was very, very easy to pay my bill with you online. Compared to other websites — you ROCK! I do website for a living and your site is in the top 1% for navigation.
Emergency Department Group President, Bay City, MI
Their paperless system is truly cutting edge. Having daily knowledge and unrestricted access to our collections and financial data is immeasurable.
Physical Therapy Client, Chandler, OK
I have been a client of 360MBS for seven years. During this time, I have found them to be more than a billing vendor for my Physical Therapy practice. They have been a true partner in helping.
Bill Pay Patient
I am writing to tell you about an Awesome Employee you have by the name of Anthony Huffman! Anthony is an Phenomenal employee. He has always went above in serving my billing needs. He is so professional, kind, knowledgeable and always works with an smile. Anthony awesome qualities should be recog...
Bill Pay Patient
I just got off the phone with one of your account rep, Anthony H. And I wanted to let you know how fantastic he was. Not only was he thorough and detailed; but he was educational, polite, professional, and very pleasant to speak with. Anthony’s customer service was sublime.
Bill Pay Patient
I contacted your company in reference to a medical bill on Tuesday, July 19th, 2022. I spoke with Anthony about my bill. What an asset this gentleman is to your company. In this crazy world we live in now, many people that deal with the public have lost their ability to listen, the ability to con...
Client in Houston Texas
I wanted to thank y’all for our best December revenue month ever, which was also our second highest revenue month in 3.5 years of operation...My front desk staff has also noticed the decrease in billing complaints, so I couldn’t be happier.
Bill Pay Patient
It's been one thing after another this year. I apologize for being late with my payment. I was so happy to see the discount rate. Many thanks to your team! You must realize that just because we have insurance does not mean we can afford what the insurance does pay. I will highly recommend your en...
Freestanding ER Billing FAQs
What is a freestanding emergency department?
A standalone medical facility offering 24/7 emergency care without being physically connected to a hospital. These are regulated like traditional ERs but face more complex billing scenarios.
Why is billing different for freestanding ERs?
You often deal with out-of-network claims, tighter payer scrutiny, and more state-level regulations. You need a billing partner that understands how to optimize for these variables.
Can 360 handle billing for both facility and physician groups?
Yes. We provide freestanding ER billing services for physician groups and facilities, tailoring our systems to your unique operational model.
How can 360 help improve collections at a freestanding ER?
Yes. We provide freestanding ER billing services for physician groups and facilities, tailoring our systems to your unique operational model.
Does your system integrate with our EMR or registration system?
Yes. We support HL7 integration with most major EMRs and can customize data flows to match your freestanding ER’s unique registration and documentation processes.
Let’s Optimize Your Freestanding Emergency Room Billing
Discover how 360 Medical Billing Solutions can increase your collections, reduce stress, and support operational growth—with little to no out-of-pocket initial start-up costs.