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Specialized Urgent Care Billing, Coding & RCM Services
< 30
Days in AR
10-15%
Revenue Increase
97%
First Pass Ratio
96%
Collection Ratios
98%
Clean Claims Rate
Urgent Care Medical Billing Services We Offer
Running an urgent care center is not an easy feat. You have to provide immediate medical attention to an unscheduled high volume of patients with injuries and episodic or acute illnesses. Due to the urgent nature of operations, the staff works even outside regular office hours and on weekends, leading to burnout. As a result, lapses in documentation, coding inaccuracies, and data entry errors cause claim denials and an unsteady cash flow.
At MediBillMD, we have designed our urgent care billing services to empower urgent care centers across the US. Our team’s extensive knowledge of CPT codes, coding guidelines, billing requirements, and current insurance payer rules ensure your urgent care facility thrives in the competitive healthcare landscape.
Common Challenges in Urgent Care Billing
Urgent care centers play a pivotal role in providing continuous care outside office hours. However, medical billing complexities can make it difficult to stay profitable, with delayed payments and claim denials.
Wrong code selection, inappropriate modifier usage, inadequate documentation, non-compliance with distinct payer policies, and unfamiliarity with reimbursement rules are the main culprits in urgent care billing, leading to revenue leakage.
High Claim Denial Rate
A high claim denial rate is one of the biggest urgent care billing challenges looming over the facilities. It affects the center's revenue cycle and increases the administrative burden. These denials often occur due to coding errors, inadequate documentation, and inconsistent patient information.
Coding Inaccuracies
Given the fast-paced nature of urgent care centers, coding errors are a prevailing issue, resulting in operational inefficiencies, revenue losses, audits, and financial penalties. These errors often occur when the diagnosis codes do not match with procedural codes or due to missing modifiers.
Diverse Insurance Payer Mix
Another urgent care billing and coding challenge that may keep centers on their toes is having to deal with a diverse payer mix. Each insurance company has its own billing guidelines and payment policies. Non-compliance with these may lead to payment delays and claim denials.
Incomplete Documentation
Missing or incomplete patient medical history is one of the urgent care billing and coding nightmares, keeping practices awake at night. Without comprehensive documentation that justifies the medical necessity of the performed procedure, payers often reject the claim, ultimately leading to unsteady cash flow and operational inefficiencies.
Outsource Urgent Care Billing Services to MediBillMD
We apply our industry expertise and knowledge to streamline the medical billing process and optimize reimbursements. So, our partnered centers avoid revenue leakage and experience financial success. Our services range from charge entry to payment posting and A/R recovery to denial management.
Partner with MediBillMD if you want access to an experienced urgent care billing and coding team to handle your facility’s financial side! Our team is well-versed in industry best practices. Besides, we believe in continuous improvement and ensure our team stays current on the changing coding and billing guidelines.
You get access to certified professional coders (CPCs) and urgent care billing specialists by partnering with us. Since you don’t have to invest a fortune in hiring the best pool of talent, you can enjoy peace of mind while we handle your urgent care facility’s high volume of claims efficiently.
Our urgent care medical billing services include ensuring complete compliance with diverse payer guidelines. The MediBillMD team strives to stay current on the changing insurance payer rules to enhance the claim first-pass rate and reduce the denial rate for a healthier and steadier revenue cycle.
Clean claims demand coding accuracy while ensuring the correct use of modifiers to specify the rendered care procedure's complexity and extent for rightful reimbursements. Our urgent care billing team is well-versed in coding guidelines and exhibits vigilance while creating claims, so our partnered centers can experience better collections.
With MediBillMD’s urgent care billing services, you can keep claim denials mostly at bay. But if they do occur, we employ an efficient denial management workflow to analyze the reason behind the denial, rework, and resubmit the claim with additional documentation for successful resolution.
Adhering to federal and state laws while trying to keep up with claim filing deadlines is a headache, as non-compliance can put your facility in hot waters, resulting in audits and financial penalties. In all this chaos, MediBillMD's urgent care medical billing services are nothing short of relief. We are empowering urgent care centers across 50 states of the US with our timely expertise and years of industry experience.
Overcome Urgent Care Billing Challenges with MediBillMD
Are urgent care billing challenges making it hard for you to focus on patient care? It’s time to put all these worries behind you! How? By partnering with MediBillMD! We have taken feedback from urgent care centers across the country to understand their specific requirements and unique challenges. Our solutions accurately address issues related to urgent care medical billing.
| Common Urgent Care Billing Challenges | MediBillMD Solution | |
|---|---|---|
| High Patient Volume | We have an experienced team that can process high volumes of urgent care medical billing claims accurately and efficiently. Our advanced and automated billing software speeds up the process | |
| Extensive Services | At MediBillMD, we have a specialized team well-versed in the various services offered by urgent care facilities. From treating mild allergies to minor surgical procedures, we can bill all. | |
| Various Payers | Different types of patients mean various insurance companies and their specific requirements. Our urgent care billing team strives to stay current on ever-changing payer guidelines to ensure faster payments. | |
| High Denial Rate | Coding errors lead to denial, negatively impacting your urgent care center's revenue cycle. We take a tailored approach to claim denials for successful resolution, leading to higher reimbursements. | |
| Lack of Trained Billing Staff | Our trained urgent care billing specialists and CPCs reduce your administrative and overall overhead costs, enabling you to upscale or downscale your operations based on patient volume. | |
Lowest Prices Guaranteed
Are you struggling to stay profitable while caring for hundreds of patients with varying needs? You can achieve financial success against an affordable fee with MediBillMD's proven urgent care medical billing services.
Get In Touch with Our
Urgent Care Billing Experts
Looking for reliable urgent care billing and coding specialists at affordable rates? Connect with our representative to get tailored services specific to your center’s unique billing needs!
