Urgent Care Billing Services

Maximize Revenue and Minimize Hassles with Specialized Urgent Care Billing Services Designed for Your Fast-Paced Practice

Elevate Your Urgent Care Revenue with Expert Billing Solutions

Urgent Care clinics, given their ability to address the patient’s needs immediately without the severity of the condition being life-threatening, play a significant role in the healthcare field. However, proper billing is the most important issue with such clinics. This is where our urgent care billing services excel, assisting with accurate coding, prompt filing, and optimizing revenue. With our use of technology and extensive experience in the insurance industry, we are equipped to handle complex insurance verifications, patient billing, and other follow-up tasks, freeing up your staff to focus on patient care. All of our valued team members are focused on helping you achieve the highest net revenue, reducing paperwork, and navigating the complex world of legal compliance for the healthcare industry.

Our Comprehensive Urgent Care Billing Services

Timely Claim Submission

We have expertise in processing prescription claims exactly with submitting compliant claims to all related payers and PBM. Our team focuses on the errors and eliminates them on the spot to reduce denials and expedite approvals.

Real-Time Insurance Verification

Given the high patient turnover at urgent care clinics, it is crucial to confirm the patient's insurance plan prior to treatment.

Urgent Care-Specific Coding Expertise

Common medical codes usually require the use of several codes because many services are delivered during an episode of urgent care. Our staff of certified coders focuses on staying up to date on the correct CPT codes to utilize

Denial Management for Quick-Turnaround Service

Denials always hit the urgent care billing due to insufficient documentation, wrong codes used, or failure to meet the payer’s requirements.

Real-Time Posting for Reimbursements

Performance Reporting and Analytics

Common medical codes usually require the use of several codes because many services are delivered during an episode of urgent care.

Compliance Management for Urgent Care

Urgent care facility codes usually contain strict coding rules, payer-specific, and HIPAA standards. To minimize audit cases, we stay informed about industry changes, including the current CPT code for urgent care services.

Steps of Our Urgent Care Billing Process

At Rhode Island Medical Billing Services, we have developed a step-by-step formula to achieve effective and efficient billing services for urgent care facilities.

Walk-In Patient Registration and Insurance Verification

Immediately determine insurance benefits, co-payment amount, and deductible for unscheduled and one-time appointments.

Urgent Care-Specific Coding

Use codes different from those used in an emergency room, such as CPT and ICD-10 codes for laceration repair, diagnostic imaging, applications of splints, and some procedures.

Claim Creation and Submission

Implement claims of various urgent care general services with a special focus on procedures and bundled services.

Denial Management for Urgent Care Claims

Mitigating common rejection ranging from downcoding of E/M levels or non-covered services.

Payment Posting for High-Volume Reimbursements

Clear payer adjustments and patient balances for better revenue distribution.

Patient Billing for Same-Day Services

Ensure that there are easily understandable bills for the required treatments and provide assistance on any patient billing inquiries.

Performance Analytics for Urgent Care Operations

Monitor patterns in claims, patients, and revenues of an urgent care center.

Urgent Care Coverage by Rhode Island Medical Billing Services

We at Rhode Island Medical Billing Services ensure complete billing services for various services by Urgent Care Centers. Our expertise ensures accurate documentation and reimbursement for the following urgent care services:

Separate charges for X-rays, EKGs, blood, and rapid tests (flu, strep, COVID-19, etc.).

Claims regarding cut, abscess incision, wound, and simple surgeries.

Prescription drugs, employee physicals, and worker compensation coverage.

Mileage, travel and lodging expenses and flu shots, immunization, prevention care expenses.

Physician service billing for acute illness, injury, and routine procedures for all age groups.

For DOT physicals reimbursement and for reimbursement of sports clearance.

Coverage of flare-ups of asthma, diabetes, and hypertension.

Why Choose us for Your Urgent Care Billing?

We at Rhode Island Medical Billing Services do understand the factors that surround the billing of urgent care. Our staff is highly knowledgeable about all the issues related to CPT, ICD10, and insurance verification and claim submission to maximize your reimbursement. Urgent care billing services are our primary area of focus, and our services are designed for high-growth, fast-paced urgent care centers focused on maximizing revenue while reducing time spent on billing. When you work with us, you can spend your energy on delivering the best care possible to your patients without worrying about billing services.

Take the Next Step to Drive Revenue for Your Urgent Care

Are you ready for the next level of your urgent care practice? Get in touch with us now and let our efficient billing services help grow your company

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