Emergency Department Coding for Northeast Hospital

Hospital Improves ED Cash Flow, Automates Coding Processes with HRS

  • Three week coding backlog eliminated. ED bill hold reduced from 20 days to 6 days.
  • Cash flow improved dramatically.
  • EMR installed with no delays in coding or billing.

Emergency Departments are constantly changing with new revenue challenges every day. HRS keeps us up-to-date and up-to-code.
– Director, Patient Financial Services


For a 650-bed acute care hospital in the Northeast U.S., the Emergency Department is a hub of activity and referrals. Forty thousand patients a year visit the hospital’s ED and an additional 24,000 receive treatment through the hospital’s ambulance service annually. Coding backlogs, aging accounts, manual processes and paper charts came together to form a perfect storm for the facility’s director of patient financial services. In 1999, the director was faced with 20-day bill holds, poor physician relationships and a three-week coding backlog. A colleague recommended HRS.


After a comprehensive assessment of the facility’s ED coding, HRS determined that its coding processes needed streamlining. HRS started by transforming the hospital’s paper-based, labor-intensive process to one that was fully electronic and consistently compliant. HRS also provided staffing and consulting support. As ED coding requirements and technology changed over the years, HRS ensured that the hospital received the right revenue for every case, every time. HRS was an integral part of every hospital performance improvement initiative and technology transition for over a decade. “HRS takes the time to get involved in our changes and has given us excellent service for over 10 years,” the director said. “There has never been a problem or issue that wasn’t immediately resolved.”