Urgent Care Billing Services
Is resource crunch inhibiting coding accuracy for each patient encounter in your urgent care practice? The inability to address this issue triggers a higher claims denial rate. Rely on an expert to navigate this challenge. Our HIPAA-compliant urgent care billing services ensure coding accuracy during claims processing, maximizing your revenue generation while minimizing administrative burdens.
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How We Streamline Urgent Care Billing for Your Practice
We house a team of Certified Professional Coders (CPC) and Certified Professional Billers (CPB) who possess comprehensive knowledge spanning charge capture, billing, claims processing, and payment follow-up. Supported by cutting-edge billing technologies, our team utilizes its expertise to enhance the efficiency, accuracy, and timeliness of our urgent care billing processes. We cater to medical entities specializing in wound suturing/stitching, IV fluids for dehydration, urinary catheterization, and more. Here is how our experts streamline your urgent care billing process.
- Leverage advanced billing digital technologies such as EHR, EMR, and PMS to expedite electronic claims processing. Use electronic data interchange (EDI) to improve the process from billing to electronic payments.
- Prioritize patient details collection (demographics, medical history, physician referrals) and verify complete insurance information (coverage type, prior authorization status with effective and expiration dates, and claims address) at the patient registration level.
- Confirm if pre-authorization is required for any services and obtain advance approval from the payers when necessary.
- Align claims documentation with fee schedules and payment guidelines of diverse insurance programs such as Medicare, Medicaid, private health insurance (e.g., Blue Cross Blue Shield, Aetna, Cigna, UnitedHealthcare), Tricare (Military Health Insurance), Veterans Affairs (VA) Health Care, and Self-Pay Patients.
- Stay updated with the latest coding updates in ICD/10, CPT, and HCPCS Level II coding, E/M, procedure codes, place of service codes, diagnostic codes, vaccine administration codes, and others.
- Assign correct CPT codes to capture every aspect of urgent care medical services. These include office or outpatient visit codes (e.g., 99201-99215), diagnostic testing and imaging codes (e.g., 99281-99285), procedures like wound repair, injections, and minor surgeries (e.g., 11042-13160) to manage claims accurately.
- Maintain code specificity and regulatory guidelines for Fee-for-Service Billing, Episode-of-Care Billing, Value-Based Billing, Global Billing, and Telemedicine Billing.
- Examine claims by analyzing Explanation of Benefits (EOBs), identifying denial reasons, resolving any disputes, and initiating the appeals process as needed.
- Aid in reviewing Explanation of Benefits (EOBs) to verify details like premiums, coverage periods, deductibles, and co-payments for all parties involved – subscribers, policyholders, and beneficiaries.
Our Comprehensive Urgent Care Billing Outsourcing Services
- Insurance Verification and Pre-authorization
- Coding and Documentation
- Claims Submission
- Denial Management and Appeals
- Accounts Receivables (A/R) Management
- Patient Billing and Collections
- Payment Posting and Reconciliation
- Compliance and Regulatory Support
- Revenue Cycle Management
- Practice Management Consulting
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During the consultation, some of the issues we can discuss are:
- Challenges in your current urgent care billing practices and how we help you address those.
- How we leverage advanced billing software to improve coding accuracy and reduce claims processing errors.
- How we customize our urgent care billing solutions to suit your unique needs and RCM goals.
- Our best practices to adhere to billing regulations and standards set by HIPAA, AMA, and CMS.
Why Choose Invensis as your Urgent Care Billing Company?
We are a highly experienced urgent care billing service provider that has been offering comprehensive billing solutions to urgent care practices for over 25 years. Our clients include walk-in urgent care centers, retail clinic urgent care (pharmacies or retail stores), pediatric urgent care centers, occupational health urgent care centers, and urgent care telemedicine services. We bank on the expertise of our team comprising certified professional coders (CPC), certified professional billers (CPB), Certified Medical Reimbursement Specialists (CMRS), and compliance officers to ensure 100% compliant and accurate urgent care billing services. Partnering with us, urgent care practices achieved about a 98% clean claims rate (CCR), reduction of aging AR to 45 days, less than an 8% denial benchmark, and an estimated 95% net collection rate (NCR).
Benefits of Outsourcing Urgent Care Billing
- Improved revenue cycle management: Effective revenue cycle management is critical for the financial success of any healthcare practice, including urgent care centers. It involves multiple complex processes, including coding, billing, claims submission, follow-up, and payment posting, which can be time-consuming and challenging to manage in-house.
Invensis specializes in providing comprehensive urgent care billing services, focusing on improving revenue outcomes. Our experienced team of billing experts ensures that every step of the billing process is efficiently managed, leading to improved financial performance. - Increased efficiency: In today's fast-paced healthcare industry, efficiency is critical for urgent care centers to deliver quality care and maintain a healthy bottom line. However, managing multiple tasks, such as patient care, billing, and administrative tasks, can be overwhelming and time-consuming. Hence, outsourcing the billing services can be a better option.
Invensis understands the importance of increased efficiency for urgent care centers. That's why we provide comprehensive urgent care billing services that can help streamline your operations and increase efficiency. With our outsourcing services, you can reduce administrative burdens, improve turnaround times, and boost productivity, ultimately leading to increased efficiency and profitability for your urgent care center. - Reduced risk of errors: When it comes to urgent care billing, errors can result in delays, denied claims, and financial loss. As an urgent care provider, it's crucial to ensure accurate and timely billing to maintain a healthy revenue cycle. However, the complex nature of medical billing can make it challenging for urgent care centers to manage it on their own. This is where outsourcing urgent care billing services can help.
At Invensis, we understand the importance of error-free billing for urgent care providers. Our team of expert billers and coders performs multiple checks and balances to ensure that every claim submitted is accurate and compliant with HIPAA and Medicare regulations. - Expertise in billing and coding: Expertise in billing and coding is crucial for healthcare providers to ensure they receive accurate and timely reimbursement for their services. However, managing billing and coding in-house can be challenging, time-consuming, and expensive.
At Invensis, we have a team of expert billers and coders who possess extensive knowledge and experience in healthcare billing and coding. With our expertise in healthcare billing and coding, you can focus on offering quality patient care while we care for your billing needs.
Trends in Urgent Care Billing
- Increased use of technology: With technological advancements, urgent care centers increasingly use electronic health records (EHRs) and other software to manage their billing processes. Utilizing advanced technology help improve accuracy by reducing errors. At Invensis, we use the latest software tools for billing and coding, resulting in increased productivity and efficiency.
- More complex billing requirements: As the healthcare industry becomes more regulated, billing requirements are becoming more complex. Urgent care billing services must stay up-to-date with regulations and requirements changes to avoid compliance issues. We at Invensis implement stringent procedures and protocols to be followed for every service to adhere to quality standards and compliances.
- Increase in patient responsibility: Patients are now responsible for a greater portion of their healthcare costs. Thus urgent care centers are delivering transparent billing for the practices they have rendered. This helps them understand the bills clearly. Invensis understand this and offer billing services that are easy to understand and with higher accuracy. This improves patient satisfaction and loyalty among the customers.
What Our Customers Say
Invensis has been a great partner providing quality medical coding and billing services. The team is extremely responsive to every query we pose, and the turn-around time for deliverables is always as committed.
Invensis has been our revenue cycle management healthcare outsourcing partner for the past 5 years. They have always delivered on their commitments, whether it is meeting our Service Level Agreement (SLA) or improving our billing process.
We have been working with Invensis for the past two years, and they have helped us overcome many revenue cycle management challenges. The team often walks the extra mile to ensure that our needs are met.
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