Taking Control of Your Urgent Care Billing

Urgent Care centers are constantly facing the challenges of high volumes of patients and frequently changing Payor regulations. Along with this, facilities are struggling with constant labor shortage and skyrocketing wages. From front-desk processes to claim submission and beyond, you need all the skill you can gather to navigate effectively through the complex maze of Urgent Care billing.

Urgent Care Billing Dilemma

Most Urgent Care facility owners insist upon keeping their billing operations in-house to have better control of the finances. However, there are multiple reasons why they could be losing their margins and unable to maintain a seamless process.

• Diluted expertise- This is the most common challenge when you consider disrupted Urgent Care billing practices. It is not easy to find an individual who has detailed knowledge and full expertise about the coding and billing guidelines.
• Inadequate compliance- Maintaining compliance within the billing process is essential to secure reimbursements. However, your in-house staff might not be aware of the intricate details of Urgent Care coding and billing. Missing out on necessary CPT codes, absence of appropriate modifiers or exclusion of ‘S’ codes can be fatal for your facility’s revenue generation efforts.
• Outdated credentialing– You may come into circumstances where a Payor needs individual credentialing. Up to six months may pass for this process to get over, and even the smallest error might cause further months of delays. Domain ignorance can seriously harm your practice.
• Bad contracts- A Payor contract serves a legal agreement which elaborates that the Payor will accept your Urgent Care facility as being in-network. Based on this understanding, you will get reimbursements as per the contracted fee schedule. However, your in-house staff may not be negotiating an agreeable amount of reimbursement that justifies your services, which will have a marked impact on your bottom line.

The Sunknowledge Objective

Solving the puzzle of Urgent Care billing requires a combination of expertise, knowledge, technology and strategic planning. If you are also looking forward to having control of your revenue cycle, we are here for you. Our team of expert medical billers and coders has developed the correct approach to eliminate all your billing worries. With extensive research and the help of comprehensive industry technology, they can provide you with a tailored solution best suited to your interest. At just $7 per hour, they are working relentlessly to streamline your Urgent Care billing and coding services.

With 100% HIPAA compliance we can reduce your overhead expenses by 80% almost instantly. We have over 18 years of experience in the healthcare billing industry and have excellent references from Providers and Payors alike. To sustain the revenue of your clinic, have a conversation with our virtual assistance team to find out how we can help you in navigating the intricate world of Urgent Care billing with excellent remote support.