• Revenue Cycle is the heart behind the Financial health of your Practice, never compromise on the people working on it

Boost Your Financial Success of your Emergency Rooms

Freestanding emergency rooms (FSERs) have emerged as a convenient alternative to hospital-based emergency departments (EDs) in the United States in recent times, offering shorter wait times, accessible locations, and comprehensive emergency care. However, their unique operational model presents distinct emergency department billing challenges that impact their operations, financial stability, and ability to provide quality care.

Today’s fast-paced healthcare environment makes it hard for these facilities to invest in advanced emergency room billing systems and training staff for in-house operations. This is where Wise Medical Billing comes to assist.
With years of hands-on industry experience, we understand the unique challenges faced by FSERs, ranging from regulatory compliance and reimbursement issues to patient perception and competitive pressures.

Speak to us Today For Free Billing Analysis

Streamlined FSER Billing for Maximum Cash Flow, Efficiency & Profits

We employ quality control procedures and structured billing processes to ensure that every aspect of your RCM is executed flawlessly and deliver results that enhance your FSER's operational efficiency and financial stability.

Insurance Verification

Confirming that your patients are covered before they receive care is critical to prevent claim denials. Rely on us for efficient and accurate insurance verification of your patients.
From eligibility verification to benefit analysis and pre-authorization, we meticulously take care of every step of the process to minimize the possibility of claim denials and ensure that the billing process unfolds smoothly.

Charge Capture & Coding

Accurate charge capture and coding are fundamental to the financial health of any FSER.
We at Wise Medical Billing aim to ensure that every service you render is coded and documented accurately.
Our expert coders are well-versed with the latest ICD-10, CPT, and HCPCS codes. Their extensive expertise and meticulous attention to detail ensure compliance and accuracy and reduce the likelihood of errors.
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Claims Submission

Accurate and efficient claim submission is critically important to getting faster reimbursements, improving cash flow, minimizing delays, and reducing denials.
From data validation to claim creation and electronic submission, we handle the entire process to ensure that every claim meets the specific requirements of different payers and is submitted accurately and promptly.

Denial Management

Managing denials effectively is immensely important for FSERs to maintain a steady cash flow. Denied claims can significantly impact the facility’s revenue.
Our denial management services are designed to help you manage and resolve denials efficiently.
We minimize claim denials and underpayments, identify patterns and causes of denials, craft appeals to overturn denials, and resubmit the corrected claims to ensure that you are fully reimbursed for every services you render.

Reporting and Analytics

Access to accurate and actionable data is crucial for the long-term success and sustainability of FSERs.
With our detailed reporting and analytics, you gain complete visibility into your financial performance. You can keep tabs on key metrics, including claim submission rates, reimbursement rates, denial rates, and days in accounts receivable, identify trends, and make strategic decisions about your FSER.

Separating Wise Medical Billing from the Rest

When it comes to outsourcing the billing operations of your FSER, it is important to partner with industry experts with a proven track record. Here are some of the many reasons why these facilities trust Wise Medical Billing to handle the administrative side of their business.

Out of Network Billing Specialist

When it comes to navigating the intricate world of out-of-network billing, especially for hospitals and freestanding emergency rooms, expert negotiation skills become a paramount feature. Wise Medical Billing (WMB) brings a wealth of experience to the table, with a specialized team dedicated to negotiation settlements. Our mastery in medical billing, coding, and revenue cycle management, honed over decades, is tailored for the unique needs of individual clinical practitioners, hospitals and ERs.
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Personalized Services
We believe that no two FSERs are alike, which is why we tailor our services to meet your exclusive needs. Our experts customize every aspect of our billing services for your practice to ensure everything aligns perfectly with your operational goals. Our client-focused approach means you get the highest level of service and support possible.
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Accessibility
We understand how critical it is for users to have access to quality assistance for their billing operations when they need it most. That’s why our experts are readily available 24/7 to assist you with your inquiries and concerns so that you can focus on providing exceptional patient care without worrying about the administrative side of your business.
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Transparency
Our detailed reports give you deep insights into every aspect of your billing operations so that you have a clear understanding of your financial standing at all times. Our billing services are designed to integrate seamlessly with the existing systems and workflows of your FSER to enhance the efficiency and productivity of your practice.
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Communication
We provide clear and consistent communication to keep you updated on everything you need to know to make informed decisions about your FSER practice. Our dedicated account managers are always standing by to address your concerns and provide personalized solutions to meet your unique needs.
Your One-Window Solution to a Profitable FSER
While you focus on what you do best – providing uninterrupted emergency care to your patients. – let us navigate the complexities of your FSER billing.
When you choose us, you can breathe easy knowing that your billing processes are efficient, accurate, and fully compliant.
Reach out to us to learn more about how our services can add value to your FSER business.

Please do not hesitate to contact us today for a quick call consultation or a demonstration of our medical billing and management services.

1-(888) 816-6676

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Injection & Pain Management

We provide compliant billing for foot injections, nerve blocks, and pain management procedures with accurate documentation and proper modifier usage.

Advanced Treatments

We handle advanced podiatric treatments with proper prior authorization management and comprehensive clinical documentation for high-value services.

Nail & Skin Procedures

We ensure accurate coding for nail debridement, callus removal, and skin lesion treatments with proper medical necessity justification and frequency compliance.

Surgical Procedures

We manage complex podiatric surgeries with accurate modifier usage, justified gaps between claims, and transparent timeframe documentation for all procedures.

Diabetic Care Management

We coordinate diabetic foot care services with proper medical necessity documentation and systematic condition correlation for comprehensive treatment.

Orthotic Services

We provide specialized billing for custom orthotics and devices, ensuring proper HCPCS and ICD-10 code pairing to justify fitting and delivery documentation.

Routine Care & Diagnostics

We handle routine foot care according to strict medical necessity criteria, ensuring precise paperwork and accurate coding for debridement and mycotic nail care, with proper frequency documentation.

Wound Care Partnerships

We provide accurate code coordination to prevent overlapping, ensure transparent tracking for pre- and post-surgical services, and deliver complete operative notes with reduced errors.

Graft & Skin Substitute Procedures

We select accurate application and graft codes based on location and wound size, audit surgical documents to ensure correct Q-code pairing for procedures and supplies, and assist in navigating state-specific Medicaid nuances through proactive prior authorization.

DME Billing

Robust compliance for orthotics, diabetic shoes, walking boots, and offloading devices. We ensure that certified coders are used for accurate coding and a perfect match for every claim. We evaluate the signature requirements of every payer and employ proactive strategies for expedited prior authorization.

Injection Therapies

We handle foot injection procedures with accurate MCO compliance, ensuring proper documentation and modifier usage for maximum reimbursement in the NY market.

Nail & Skin Care

We provide compliant billing for nail debridement and skin lesion procedures, meeting eMedNY-specific documentation requirements and ensuring proper medical necessity justification.

Advanced Treatments

We manage advanced podiatric treatments with NY-specific requirements, ensuring proper Q-code usage, comprehensive clinical packets, and expedited prior authorization processes.

Diabetic Care Management

We coordinate diabetic foot care services with wound care partnerships, ensuring proper documentation and transparent billing coordination for all involved providers.

Surgical Procedures

We handle complex podiatric surgeries with MCO coordination, ensuring accurate service sequencing and proper documentation to prevent overlapping claims and denials.

Orthotic Services

We provide specialized eMedNY-compliant orthotic billing with precise HCPCS coding, accurate ICD-10 pairing, and comprehensive modifier knowledge for maximum reimbursement.

Routine Care & Diagnostics

We ensure eMedNY compliance for routine foot care services with systematic condition documentation, proper modifier alignment, and comprehensive medical necessity justification for all procedures.

Graft & Skin Substitute Procedures

We prepare comprehensive clinical packages for fast approval, ensure thorough compensation for graft products and application, and prevent claims denials through accurate coding and correct submission.

Wound Care Partnerships

We provide accurate code coordination to prevent overlapping, ensure transparent tracking for pre- and post-surgical services, and deliver complete operative notes with reduced errors.

DME Billing

NY Medicaid’s top coverages include diabetic shoes and inserts, ankle-foot orthoses, braces, and custom-molded orthotics. We ensure eMedNY compliance through precise documentation, proper ICD-10 coding, and in-depth knowledge of modifiers to prevent denials.

Robotic Procedures

We deal with complex billing for radical prostatectomy, partial nephrectomy, and cystectomy by elaborative documents for the used devices. Our accurate codes and modifiers ensure successful approvals.

Telehealth

Our coders ensure accuracy for pre-op consultations, follow-ups, and LUTS/OAB management. Our optimized POS and use of modifiers have lower denial rates, as we demonstrate their necessity with clinical documents.

Urodynamics & Diagnostics:

We handle multi-channel involvement and billing complications with detailed CPT/ICD pairing. Our proactive prior authorization handling and expert claim structuring ensure error-free approvals.

Cystoscopy & Endoscopy:

We capture every detail and require evidence to ensure a smooth claim approval for office-based and hospital-based endoscopic procedures. We offer robust billing claims for biopsies and stone removals.

Lithotripsy (ESWL) & Stone Management:

We understand the complex bundling of ESWL, URS, and stone procedures, including device charges, anesthesia, and supplies for ongoing care. This in-depth knowledge ensures coding accuracy for each component.

Prostate Procedures & Biopsy:

We offer meticulous billing for targeted biopsies and imaging-guided prostate procedures, ensuring proper coordination of involved pathology and detailed capture of all allowable charges.

Implants & Prosthetics

We strictly follow the payer’s rules for high-value penile prostheses and testicular implants, ensuring proper coverage for device charges. Our coders ensure proper coding pairs, transparent vendor contracts, and logs for implants.

Pathology & Imaging

Our team possesses in-depth knowledge of the working principles of pathology and imaging centers. We collaborate with service providers to obtain accurate clinical information, ensuring that we capture all allowable charges.

Botox & Neuromodulation

For these complex services, we provide thorough coverage by handling prior authorization approvals and ensuring coding accuracy for both trial and permanent procedures. Our modifier’s accuracy provides high compliance with diverse payer requirements.

DME & Catheter Supplies:

We provide streamlined billing claims for catheter and drainage bag supplies, ensuring smooth and timely payment collections. Our proof-of-delivery and proactive SOPs save practices from financial loss.

DME & Catheters

We handle catheter supplies, ongoing maintenance claims, and billing for incontinence aids. We complete clinical documents with proof of need, supply evidence, and other supporting elements according to Medicaid requirements.

Pathology & Advanced Imaging

Outpatient labs and imaging services face facility-based billing cuts due to poor classification. We manage all complexities with professional splits and ensure compliant claims for radiology reads and pathology services.

Botox & Neuromodulation

We perfectly align the trial with a permanent implant and explain all stages with accurate codes. Our precise and error-free claim submission ensures maximum reimbursement for all elements.

Implants & Prosthetics

We offer support for commercial or Medicaid billing claims through transparent device tracking, fair vendor contracts, and compliant pre-auths, resulting in the successful implantation of penile prostheses, urinary sphincters, or slings.

Prostate Procedures & Biopsies

Pairing of biopsies with MRI-guided prostate means additional care for billing documents. These coordinated services required accurate pathology linking, ensuring that our robust component captures the necessary information.

Lithotripsy & Stone Procedures

We offer coding accuracy from ESWL to ureteroscopy by managing compliant documents for anesthesia, professional components, and prior authorization for such high-value services.

Cystoscopy & Endoscopic Interventions

Our technical expertise ensures billing accuracy for stent removals, cystoscopy, and facility-based endoscopy procedures. We separate each component of treatment to bring payment for all.

Urodynamics & Pelvic Testing

We justify the clinical necessity for urodynamic services. We offer hands-on support for authorization, ensure claims accuracy with diagnosis justifications, and document compliance for revisits.

Telehealth Evaluation Services

We have current information about eMedNY and MCO policies, ensuring coding accuracy with proper place-of-service designations, relevant modifiers, patient consent forms, and explanations of rendered services.

Robotic Procedures

We cover high-value procedures such as prostatectomy and nephrectomy, among others, by accurately documenting device costs in clinical documents and justifying their necessity under APG and facility-based insurance rules.

Pathology & Imaging Coordination

We resolve coding conflicts for these pairing services and ensure a justified coordination in documents to prepare a clean claim with reduced denial risks.

DME & Catheter Supply Managemen

The Medi-Cal and commercial payers have strict compliance requirements for DME. We streamline your claims with transparent usage tracking to ensure quality care and justified reimbursement.

Botox, Neuromodulation & OAB Treatments

We simplify the staged billing process for trials by managing prior authorization, the device’s paperwork, and submitting claims to accurate insurers to make it more manageable.

Implants & Prosthetics

We expedite your operation by handling authorization and vendor contracts, managing paperwork for pre-approvals, ensuring coordination, and maintaining inventory logs for stents and penile implants.

Prostate Procedures & Biopsies

Our experts accurately sequence the complex billing claims for MRI-fusion biopsies, prostate services, and imaging pairings across various payers to ensure maximum reimbursement for practices.

Lithotripsy & Stone Procedures

We navigate the complex process through accurate coding, transparent anesthesia reports, and the use of durable equipment, resulting in maximum coverage for every service.

Cystoscopy & Endoscopic Interventions

We capture each detail about scope procedures, stent placements, and biopsies performed in facility or ASC settings to prepare compliant claim documents.

Urodynamics & Pelvic Testing

We understand the unique compliance requirements, from bladder studies to pelvic floor testing, which prove the clinical necessity to ensure robust prior authorization and successful billing claims.

Telehealth Evaluation Services

California has broader telehealth services, with high Medi-Cal reimbursement for these services. We cover modality, consent, and explain facility settings so that you can get maximum advantage from every allowed charge.

Robotic Procedures

We precisely document robotic-assisted surgeries, negotiate with insurers, reflect the procedure’s complexity, and complete all paperwork in accordance with payer requirements to ensure a justified payment.

AB 72 – Surprise Billing Law

For podiatrists providing surgical services in out-of-network facilities, California’s AB 72 limits balance billing. Navigating this requires precise billing strategies.

Prior Authorization Hurdles


Increasingly, California payers require prior authorizations for DME, orthotics, skin grafts, and advanced wound care procedures. Failure leads to non-payment.

Workers’ Compensation Complications

California’s Workers’ Compensation system demands strict adherence to the Official Medical Fee Schedule (OMFS) and highly detailed documentation—especially for podiatric injury care, fracture management, and surgical interventions

Complex Wound Care & Skin Graft Billing

Podiatrists collaborating with wound care centers for diabetic ulcers, pressure sores, or limb salvage procedures face frequent denials related to skin substitute grafts (e.g., Apligraf®, Dermagraft®) and advanced wound treatments like NPWT (vacuum therapy).

Medi-Cal Restrictions

Medi-Cal limits podiatry services unless directly related to chronic disease management. Denials are common without proper coding and documentation.

Routine Foot Care Scrutiny

California insurers, including Medi-Cal and major HMOs (Kaiser, Blue Shield CA), often classify foot care (like nail debridement and callus removal) as non-covered unless medically justified by conditions like diabetes or peripheral vascular disease.