Billing is not so simple. You have to buy billing software ( it’s all done electronically) and an accounts receivable system. You also have to train the EMTs to collect insurance information from either the patient ( in most cases not possible) or the hospital/ER. The ER has to stabilize the patient before they can inquire ( EMTALA law ) about insurance and the EMTs often cannot/won’t wait. You also have to hire staff to research and resubmit denied claims.
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