The Leading Practice Management and RCM Billing Software for Emergency Medicine

Emergency medicine billing demands split-second clinical decisions to be translated into precise E/M levels, critical care time documentation, and facility-versus-professional billing splits, all while maintaining EMTALA compliance documentation for every patient regardless of ability to pay. Under-coding is rampant when documentation doesn't fully capture the complexity of decision-making in high-acuity encounters, while over-coding creates audit exposure. Unlimited Systems gives emergency departments and emergency physician groups the coding precision and compliance safeguards this high-volume, high-stakes specialty requires.

An emergency physician may see dozens of patients per shift ranging from minor lacerations to multi-system trauma, each requiring an E/M level (99281-99285) determined by the complexity of problems addressed, data reviewed, and risk of complications, distinct from the separate facility-side E/M level billed by the hospital. Critical care time (CPT 99291/99292) requires precise documentation of total time spent providing critical care, exclusive of separately billable procedures. Every patient encounter must also generate the medical screening exam and stabilization documentation required under EMTALA, regardless of insurance status.