FSEDs Run on Commercial Revenue.
Preventable Denials Are the Ones That Cost the Most.
InstaCode brings autonomous coding, continuous audit visibility, and transparent reporting to freestanding emergency medicine. For operators who need more from a coding partner than a monthly invoice and a denial list they cannot explain.
Trusted by 800+ healthcare organizations
Trust, Compliance, and Coding Model
The Coding Challenges FSEDs Face Are Not Generic Problems.
A Different Starting Point for Revenue Cycle Performance
Without InstaCode
- ✕Denials arrive weeks after submission. By the time the audit report surfaces the pattern, it has already repeated.
- ✕Expired codes enter the billing workflow. No system-level control exists to stop them.
- ✕Monthly audits find errors that could have been caught at the time of coding. The corrective window is gone.
- ✕BCBS rejects on primary diagnosis. The vendor response is slow and incomplete.
- ✕Suspended charts sit in a workflow that does not match how ER leadership actually reviews and escalates.
With InstaCode
- ✓Coding intelligence surfaces gaps from documentation before claims go out, while corrections are still easy to make.
- ✓Expired codes are blocked at the system level. They do not enter the workflow.
- ✓Audit signals run continuously across every encounter — not once a month.
- ✓Reporting shows where errors originate, which code types, which patterns. Not just what was denied.
- ✓Suspended chart handling follows the facility's existing review and escalation process.
Autonomous Coding Built for an Environment Most Platforms Were Not Designed For.
A Different Level of Technology
Most vendors servicing FSEDs today are smaller operations without a technology platform. InstaCode is an autonomous coding engine with built-in audit infrastructure, real-time reporting, and system-level controls. For this market, that is a meaningful step up.
Experience in the Environment
Coding for a freestanding ER is not the same as coding for a hospital outpatient department. DeliverHealth's team has 20+ years of direct FSED experience, including Single Pass coding for simultaneous facility and professional fee workflows and manual ancillary services coding for radiology, lab, drug administration, and supply and drug code capture.
Predictable Cost Structure
Per-chart billing with no additional charge for suspended charts. Tied directly to encounter volume for owner-operated facilities managing revenue on a case-by-case basis.
A Pathway to Automation
PerformPlatform gives FSED coding operations a structured path toward greater automation. Real-time reporting, denial trend visibility, and encounter-level audit signals replace the monthly vendor summary from day one—giving smaller-volume facilities the infrastructure to scale.
No New Infrastructure. Fits the Process You Already Have.
- ✓EPD and T-System EHR integration supported. GoRev and CollaborateMD billing system integration supported.
- ✓Coding occurs in PerformPlatform or within the existing billing workflow, based on the facility's preference.
- ✓Suspended chart review follows the facility's existing process — ER leadership reviews before provider escalation.
- ✓Audit and reporting built into the platform, not a separate system.
The Full ER Coding Workflow
- ✓Early Coding Insight
- ✓ACE
- ✓Denial Prevention
- ✓Expired Code Prevention
- ✓Continuous Audit Signal
- ✓PerformPlatform
- ✓Full Traceability
- ✓Expert Human Support
One Platform. Outcomes That Matter Across the Organization
RCM Director - Billing Manager
Knows what coders are doing and where denials originate. Coder performance visible by encounter type and code category. Audit findings are in the platform, not a monthly PDF.
Operator - Owner - CFO
Predictable per-chart billing. Visibility into revenue cycle performance without pulling it from the vendor manually. A coding partner that can show its work and respond with data when something goes wrong.
Compliance Lead
Full audit trail from documentation to submitted code. Every action is logged. Expired codes cannot enter the workflow.
Getting Started Without Getting in the Way.
InstaCode deploys on top of what the facility already uses. The platform is configured to the facility's workflow during implementation — including suspended chart handling, escalation processes, and audit frequency.
Scoping Conversation
A short call to understand current systems, encounter volume, coder setup, and where revenue cycle friction tends to show up.
Data Sharing
NDA & BAA executed; data sharing enabled for chart testing once documents are signed.
Integration & Configuration
EPD and T-System EHR connection established. GoRev and CollaborateMD billing system integrated. Coder model selected: in-house, DeliverHealth, or hybrid. Audit rules, suspended chart workflow, and reporting cadence are configured in accordance with the facility's standards.
Chart Testing & Validation
Live charts run through the platform before go-live. Coding accuracy reviewed and configuration adjusted as needed.
Go Live
Coding begins. Audit signals run continuously from day one. Turnaround target of under 24 hours from chart delivery.
Schedule a Conversation
A quick call to understand where the facility is today and whether InstaCode is worth a closer look. A few questions about current workflows, encounter volume, and where revenue cycle friction tends to show up.
What to Expect
- ✓Current coding setup, vendor, and where denials tend to originate.
- ✓Encounter volume, PM/billing system, and number of locations.
- ✓An honest read on fit, and a clear next step if there is something worth exploring.
Request an Overview
What FSED Operators Know Before They Go Live
Autonomous coding that scales with volume without degrading accuracy or adding headcount.
Continuous audit signal — performance issues surface in the workflow, not after the billing cycle closes.
Transparent reporting that shows what happened, why it happened, and what is being done about it.
System-level controls on expired codes and compliance, not procedural reminders.
Workflow flexibility that preserves existing suspended chart review and escalation processes.
AAPC/AHIMA-credentialed human oversight on every exception
PerformPlatform puts smaller coding-volume facilities on a structured path toward automation—real-time audit visibility and denial trend reporting from day one.