It's very common for Urgent care billing to go wrong due to the numerous steps involved in the claims creation process. As a result, underpaying clinics and health facilities for urgent care services becomes all too common.
Consider the five most crucial Urgent care billing tips listed below to avoid this situation:
· Create your contracts
If your clinic does not have proper contracts in place with local payers for medical services, you have little chance of being paid on time or in the correct amount. You should ideally have all of these contracts in place before opening your clinic. So that, you are not negotiating while waiting to be paid for claims.
If you are required to negotiate contracts, you will be unable to accept patients' insurance coverage, which means you will be able to operate only on a cash-only basis. This will drastically reduce the number of patient visits to your clinic.
· Make use of good front-desk practices
Front-desk staff should be trained to check each patient's current insurance rather than asking if anything has changed since their last visit. This can aid in the elimination of some incorrectly filed urgent care billing claims, such as those with incorrect:
· Demographics
· Addresses
· Insurance numbers
When anything is submitted to a payer that is not accurate, it may result in having to re-submit the claim or having the claim denied entirely because it was sent to the incorrect payer. It's also a good idea to have your front-desk staff audit denied claims regularly to see if there are any patterns associated with denials.
· Don't overlook important charges
In Urgent care billing, it is very easy to overlook some valuable charges in the hectic pace of a medical facility, and thus miss out on an entitled payment.
· Injections
· X-rays
· Blood draws
· Lab work
· Reading results
Are some of the most common missed out charges. Another area of fairly common oversight, and thus underpayment, is the volume of drugs dispensed. Make sure that your staff is trained to identify and include these frequently overlooked charges for appropriate billing.
· Using the correct billing codes
When coding Urgent care billing charges, choosing a lower-level 2 or 3 code may appear to be the best option. But higher-level codes are frequently justified and should be used in those situations. By underestimating the code levels on charges, your medical practice could be losing a significant amount of money every day.
Furthermore, the American Medical Association updates codes regularly, and thousands of new codes have recently been added to the compendium of charges. Make sure that your office staff is aware of the new codes and are properly using them when billing.
· Use the proper code modifiers
Code modifiers assist in identifying the service provided to a patient and provide additional information beyond the base code on any given charge. Although Urgent care billing code modifiers are frequently necessary for determining what type of service was administered.
These modifiers are frequently overlooked or misused, resulting in an inaccurate picture of the service that was delivered. Make sure your staff is well-versed in using these code modifiers and understands which code modifiers are accepted by all payers.
Sunknowledge an expert in Urgent Care Billing
Sunknowledge can assist you in getting your claims paid and your losses minimized in this situation. Our proactive and streamlined revenue cycle management process not only makes sure a steady flow of cash into your business, but it also provides you with complete visibility and assurance of your payments – at every stage of the Urgent Care billing process.
We offer some special benefits:
· The only RCM services provider that provides hands-on assistance
· Our team assures all Urgent Care Centers with no backlog as we work on all 7 days of a week.
· There are a lot of good references in the industry. Currently, the largest in New York is served.
· Complete Urgent Care Coding and Billing Support at 2.9% of all collections.
· Any price can be met or beaten.
· Detailed A/R follow-up measures are placed until the problem is resolved.
· 100% HIPAA compliance is guaranteed.
· Cost savings of 80% on billing are guaranteed.
· We also provide $3 million insurance coverage including any computer hacking.
Moreover, there will be no write-offs or adjustments made without the client's permission, and no contracts will be binding. Let our experts help you with proper and timely payments. Contact us to learn more about the Sunknowledge Urgent care billing assistance right now.