Urgent Care
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Expert Medical Billing Services for Urgent Care Centers
Optimize your revenue, reduce claim denials, and improve cash flow with specialized billing services tailored to the needs of urgent care centers. We understand the fast-paced and high-volume nature of urgent care centers. With a diverse range of services—from non-life-threatening emergencies to minor injuries, lab tests, and preventative care—urgent care billing requires precise coding, documentation, and compliance with payer rules
98% First-Pass Pay Rate
With our expertise in urgent care billing codes and payer guidelines, we ensure that most of your claims are approved on the first pass, reducing delays and speeding up the payment process.
30% Reduction in AR Days
Our efficient billing and follow-up process reduces the average accounts receivable days, improving cash flow and helping your practice get paid faster.
15% Revenue Increase
- Urgent care centers that work with us see a 25% or higher revenue increase due to reduced denials, improved coding accuracy, and faster reimbursement cycles.
99% Claim Accuracy
We ensure all claims are submitted with the correct codes and complete documentation, minimizing the risk of denials and ensuring timely payments.
Common Billing Challenges in Urgent Care
challenge
High Volume of Claims with Complex Coding
Urgent care centers handle a large volume of patients daily, offering a broad range of services, from minor injuries to preventive care. This high volume and variety of services require complex coding to ensure each visit and treatment is billed accurately.
How We Solve It:
Our team of experienced coders is trained in urgent care-specific coding, including evaluation and management (E/M) codes, injury codes, lab tests, and imaging services. We ensure that every service is correctly coded, reducing errors and ensuring full reimbursement.
challenge
Fast-paced and Time-sensitive Billing
Urgent care centers often deal with a fast-paced workflow, where patients need quick treatment, and billing needs to be handled promptly to ensure quick reimbursements. Delays in billing can negatively impact cash flow and revenue.
How We Solve It:
We provide efficient, timely billing processes that ensure claims are submitted as quickly as possible, minimizing delays and ensuring faster reimbursements. Our team works seamlessly to stay ahead of claim deadlines and payment cycles, ensuring a smooth revenue cycle.
challenge
Multiple Insurance Payers and Varying Guidelines
Urgent care centers see patients with various insurance types, including Medicaid, private insurance, and workers' compensation. Each payer has different rules, coverage limits, and reimbursement rates, making it challenging to navigate billing across multiple systems.
How We Solve It:
We specialize in handling claims for all major insurance providers, including Medicaid, Medicare, and private insurers. Our team ensures that all claims are submitted in full compliance with each payer’s specific requirements, maximizing your reimbursement and reducing the chances of denials.
challenge
High Denial Rates and Appeal Processes
Urgent care centers often face high claim denial rates, which can result from incorrect coding, insufficient documentation, or missing information. Denied claims can delay payment and require significant follow-up to resolve.
How We Solve It:
Our dedicated denial management team monitors claims to identify and address issues early. We manage the entire appeals process, from reviewing denied claims to submitting appeals, ensuring your center is reimbursed as quickly as possible.
challenge
Documentation and Compliance Challenges
Urgent care centers must adhere to strict documentation and compliance requirements to meet insurance payer standards. Incomplete or incorrect documentation can lead to claim rejections and delayed payments.
How We Solve It:
Our billing experts ensure that your documentation is complete, accurate, and meets payer-specific standards. We work closely with your team to ensure that all required information is collected and submitted with each claim to minimize rejections.
How We Solve Urgent Care Billing Challenges
Accurate and Timely Coding
Our experienced billing team ensures that every service provided by your urgent care center, from minor injuries to diagnostic tests, is accurately coded using the correct CPT, ICD-10, and HCPCS codes. We ensure that claims are processed quickly and correctly to reduce denials and speed up reimbursement.
Fast, Efficient Billing Processes
We streamline your billing process from patient intake to claims submission, ensuring that your urgent care center can focus on patient care while we handle the administrative side. Our team uses advanced technology and automated processes to ensure timely claims submissions, reducing the time it takes to get paid.
Handling Multiple Insurance Payers
Whether it’s Medicaid, Medicare, commercial insurance, or workers’ compensation, we handle billing for all major insurers. Our team ensures that each claim is submitted in full compliance with each payer’s unique requirements, ensuring your center is reimbursed fully and promptly.
Denial Management and Appeals
We proactively address claim denials by reviewing the cause and taking immediate action. Our team works efficiently through the appeals process, resubmitting claims with the necessary corrections or additional documentation to ensure timely reimbursement.
Comprehensive Documentation Support
We work closely with your staff to ensure that the proper documentation is collected and included with each claim. Our team helps maintain compliance with insurance payer requirements, ensuring your claims have the necessary information to avoid delays and denials.
