The Emergency Department is the front door of the hospital, but it is the hardest place to manage revenue. Between split-second trauma decisions and the complex 2025 CMS Physician Fee Schedule, money is leaking out of your practice. You don’t need another generic billing vendor. You need a partner who understands the difference between a fracture reduction and a simple splint. Dastify Solutions delivers 99% reduction in
billing errors and a ≤4% denial rate for high-volume emergency groups.
Here’s how practices have improved their operational and financial performance with our AI-powered medical billing services.
See the difference?
Most billing errors aren’t just typos; they are systemic failures to understand emergency medicine workflows. Here is how we stabilize your cash flow.
The Problem
The Problem
Physicians are focused on saving lives, not writing novels. In the rush of a Code Blue, vital formatting for CPT 99291 (Critical Care) often gets missed or under-timed.
We do not just process codes. We read the room. Our specialists utilize NLP and human expertise to locate "invisible" billable minutes. We capture procedures like intubation (31500) or central line placement (36556) that were performed but buried in the notes.
Fear of audits leads many coders to default to Level 3 (99283) when the acuity actually supports a Level 5 (99285). This leaves safe and compliant money on the table every single shift.
We apply the latest Medical Decision Making (MDM) hierarchy strictly. If the data supports high complexity, we bill for it. We arm you with the documentation defense to back it up.
High patient volume creates a flood of eligibility errors, unverified coverage, and "medical necessity" pushbacks from payers.
We deploy predictive denial analytics. We scrub every claim against Medicare NCCI edits and local MAC policies before it ever leaves the system. If it is not clean, it does not go out.
We handle the full lifecycle, from the ambulance bay to the bank deposit.
Trauma activation (G0390) requires precise documentation of pre-hospital notification. We audit every trauma chart to ensure the "Golden Hour" is billed correctly under the newest guidelines.
Our team includes CEDC (Certified Emergency Department Coder) specialists who understand the 2025 E/M guidelines. We ensure compliance with split/shared visit guidelines to maximize reimbursement for Physician-APP teams.
Navigating the blur between ED and Inpatient is difficult. We manage Observation codes 99218–99220 and the nuances of the "Two-Midnight" rule to prevent costly recoupments.
Do you have a backlog? Our "SWAT Team" attacks aged receivables. We identify patterns in unpaid claims and recover revenue you thought was written off.
Emergency ultrasound (POCUS) is often performed but rarely billed correctly. We capture the revenue for 76705, 93308, and other bedside imaging codes.
We audit the payer's "Qualifying Payment Amount" to spot underpayments.
We manage the Independent Dispute Resolution portal, submitting batched disputes for underpaid claims.
We handle the "Good Faith Estimate" requirements for self-pay patients in the ED
| Clinical Scenario | Standard Billing Approach | The Specialized Approach |
|---|---|---|
| Critical Care (99291) | Misses the "total time" statement and bills as a standard ED visit. | Aggregates time spent reviewing labs, imaging, and family discussions to meet the 30-minute threshold. |
| Fracture Care | Bills only the splint application. | Reviews for definitive care handling to bill the fracture treatment code plus cast application. |
| Trauma Activation | Ignore the "pre-hospital notification" requirement. | Verifies EMS communication logs to compliantly attach Add-on Code G0390. |
| Moderate Sedation | Misses the distinct "intra-service time" documentation. | Captures codes 99152/99153 based on precise nurse/doctor charting time. |
| Sepsis Management | Downcodes due to vague "fever" diagnosis. | Queries physicians to specify "Severe Sepsis with Acute Organ Dysfunction" for accurate DRG/acuity reflection. |
Get a forensic audit of your last 50 claims and see exactly how much you are leaving on the table.
Frequently Asked Questions
We monitor the CMS guidelines closely. Currently, the substantive portion can be defined by more than half of the total time or a distinct Medical Decision Making (MDM) contribution. We ensure your PA/NP charts are co-signed and linked correctly.
