How to Get Your Urgent Care Billing Right on Track

Urgent Care is a lucrative business. According to a report, the Urgent Care market is expected to reach more than $26 billion by 2024 due to its increasing popularity. It is a domain that bridges the gap between primary care providers and emergency room services. In 86% of cases, Urgent Care provides an “episodic” scope of care. It differs from emergency care and primary care mainly based on the urgency of the conditions of the patient in need of medical attention. For instance, a person suffering from fever that is not a life-threatening emergency but requires attention within 12 hours falls under Urgent Care.

Patients today are choosing Urgent Care mainly due to the short wait time and convenience.

However, in spite of having a larger patient volume and demand today, many providers are seen struggling as Urgent Care revenue is prone to get stagnant due to its billing guidelines.

Tips to Resolve Urgent Care Billing Guidelines Complications

The billing processes of Urgent Care and primary care are very similar. However, there are certain Urgent Care-specific codes that were originally designated by BCBS – beginning with an “S” – and are only used for Urgent Cares services. An Urgent Care facility has two main options when coding and billing for services rendered – S9088 and S9083. Though there are a couple of other “S” codes for Urgent Care billing, virtually all encounters fall under these two categories, with the exception of Medicare which employs a different set of codes. There are a lot of billing guidelines and regulations that need to be followed in Urgent Care billing services. Each charge in Urgent Care is, in fact, billable, according to the payer’s rules. Billers should not only be thorough with codes but they should also require operational knowledge; which healthcare practices are struggling to find. This is mainly because finding an in-house team that excels and is updated with the industry mandates, codes, etc. can be pretty expensive today. This is why providers are looking for a better alternative viz. outsourcing the Urgent Care billing process to professionals.

Sunknowledge – The Ideal RCM Organization for Urgent Care Billing Solution

Delivering state-of-the-art solutions to many leading names in the healthcare industry, Sunknowledge caters to all your year-round billing needs. For the last 15+ years, we have helped many healthcare practices improve their revenue, allowing them to focus on what matters the most i.e. patient care. We have the expertise to reduce the overall operational cost by up to 80%, eliminating the need for associated expenditure like staff’s salary, employee benefits, insurance etc. Securely handling all data, documenting every detail meticulously, fixing rejected claims, and managing old aging accounts receivable, our experts reduce the risk of billing and coding errors as well. Optimizing your workflow for maximum returns, you no longer have to spend on costly collection process. Ensuring the right checks and balance, partnering with us further ensures the highest first-pass collection rate and a seamless billing approach.

So what are waiting for? Talk to us right now over a ‘no commitment call’ and let us show you how our experts can help you with better ROI in no time.