Real-Time Verification—The Critical First Step of Urgent Care Medical Billing

August 03,2016 / By Josh Knoll

Josh Knoll

Every now and then, we find some new essentials have been added by the insurance companies and the billing department is all at sea. To take a case in point, real-time verification in urgent care centers plays a significant role in streamlining your business. The buzzword in urgent care is ‘speed’, and accomplishing verification tasks in the shortest possible time is of the essence.

These days, urgent care billing requires constant attention to regulations, publications, guidelines, laws, and more. To enjoy complete compliance and ensure cleaner claims and quicker settlements, outsourcing to a competent specialist seems like the only means to get reimbursed on time.

In the coming years, UCC is expected to expand its horizon to the core. The unmet demand of primary care providers is the main driving factor of the growth of UCC. Additionally, the Patient Protection and Affordable Care Act (ACA) will expand insurance coverage to millions of people by 2020.

Feasible fundamentals

Urgent care centers have gained popularity among the patrons due to their proficiency in treating urgent conditions which need immediate medical attention. Easy accessibility and lower cost have encouraged their steady popularity. However, like every other healthcare business, urgent care centers too need to make money at the end of day.

Let’s take a look at how real-time verification can help them reach that goal faster.

~ Submitting an eligibility benefit inquiry (eligibility request) and obtaining the payer’s response can happen at an increased pace

~ Speeding up of the process of identifying the primary care provider and other important details about medical coverage

~ Reducing denials by eliminating insurance verification errors through expert, streamlined processes, a benefit that one instantly gets by employing a dedicated, third-party specialist

Urgent care centers have a notoriety of being unprofitable. However, one can easily turn things around by choosing to employ expert, professional assistance through thoughtful outsourcing. Quite frankly, it’s a strategy worth trying in today’s competitive world.

 

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