Fast & Accurate Urgent Care Billing Services
Compliant & Efficient Revenue Cycle Management for Your Urgent Care Center
Urgent Care Billing Support – Any Time & All Time
In the realm of medical billing, urgent care centers grapple with revenue stagnation in spite of increasing volume of patient visits primarily due to limitations in performing pre-service billing steps associated with urgent care delivery and inefficient billing and coding processes. A swift and on-time eligibility and benefits verification, clear communication of patient’s financial responsibilities, efficient use of urgent care specific codes and an optimized billing process perfectly in sync with urgent care requirements will improve your revenue cycle.
Unbeatable Service, Quality & Price
CHALLENGES
Challenges in Urgent Care Billing
While similarities exist with primary care billing, urgent care billing can be vastly different in terms of optimizing a revenue cycle. It is prudent for urgent care centers to bill according to coding and billing requirements specific to urgent care to ensure better reimbursement.
Since urgent care providers bridge the gap between primary care and emergency rooms, an urgent care setup is different than that of clinics and emergency rooms. Most patients need immediate medical attention and there are limitations to methodically following standard pre-service billing steps such as verifying patient information, insurance and benefits checks and determination of financial responsibilities.
Payment to urgent care centers also varies depending on payers, whether covered by Medicare or private payers. The billing team must use appropriate codes depending on payers and payer–specific contracts to get the maximum possible reimbursement for the services rendered. On average, an urgent care contract pays roughly 30% more than a primary care contract. It is necessary to use correct codes – POS, HCPCS (“S” codes) & CPT following the Medicare urgent care billing guidelines as well as fulfilling the insurance payer’s requirements to get better reimbursement for urgent care services. Being a full-service RCM service provider, our dedicated team at RCM Workshop works 24×7 in tandem with your urgent care setup and assists your team in delivering quality care and achieving revenue objectives.
OUR PROCESS
Our Urgent Care Billing Process Workflow
With our comprehensive urgent care billing solutions, we ensure a seamless end-to-end billing experience so that you receive the appropriate payments in a timely manner. Our end-to-end urgent care billing process covers every billing task from pre-billing services such as eligibility verification, coding, and charge posting to post-billing services encompassing claim submission, payment posting, denial management, and AR follow-up. Our dedicated billing experts work according to your working hours and schedule.
We prioritize extensive–quality audits and reviews and meticulously organize documents at every stage of the revenue cycle to achieve timely and high-quality outcomes. Our analytics–driven approach helps us monitor, measure and manage every billing process based on key performance indicators (KPIs). Our metrics–driven reporting tool captures and reports every aspect of process performance – productivity, quality and $ collections in a transparent way and gives you full control over your billing process.
Demo Entry & Insurance Verification
Medical Coding
Code Review & Charge Entry
Documentation Audit and Review
Claims Edit & Submission
Payment & Denial Posting
Denial Management
Accounts Receivable
Follow-up
Patients Collection Follow-up
BENEFITS
Outcomes Guaranteed
Our comprehensive approach of urgent care billing process presents unparalleled advantages for your business, elevating your ROI through a truly 24×7 billing service. Our swift and systematic delivery process is rooted in the finest RCM practices to ensure outstanding results in your revenue cycle.
WHY US?
Why partner with us
Our urgent care billing services are designed to integrate flawlessly into your current billing framework, catering to all your billing requirements seamlessly. Our team operates as an extension of your existing setup and works in tandem following your schedule and working hours to achieve your revenue objectives. Our unwavering commitment to your operational requirements ensures that you never miss the opportunity to optimize your revenue cycle. Partner with us today for unparalleled outcomes.