Today managing urgent care billing is quite a work. Your urgent care practice may be delivering top notch, evidence based care to a growing number of patients, but if your profit margins are not meeting expectations, then it’s time to turn a keen eye toward your billing processes.
Understanding the Urgent Care Billing Process:
Urgent care clinics and centers are the bridge between primary care providers and emergency rooms and are integral to our healthcare system. With a projected worth of $26 billion by this year 2023, urgent care clinics are witnessing increased popularity. Also, understanding the most common CPT codes in urgent care, such as 99214, 99213, and 99204, is essential. To ensure your urgent care practice thrives, mastering the basics of billing is in fact is quite crucial today.
Front desk initiatives – The billing cycle commences at the front desk, emphasizing the importance of establishing robust financial policies from check-in. While urgent care clinics often lack a pre-registration process due to the walk-in nature of appointments, capturing essential patient information at the front desk is imperative. This includes demographic details, insurance information, and reasons for the visit. This is why you have expert like Sunknowledge to ensure that this initial information sets the stage for a streamlined billing process.
Confirming financial responsibility – In the absence of pre-authorization time, patients must be well-versed in their insurance plan details. To avoid billing complications, Sunknowledge recommends having each patient sign an affidavit of financial responsibility before receiving medical services.
Post-visit follow-up – Efficient billing hinges on accurate documentation during and after patient visits. Sunknowledge ensures that all procedures and relevant information are recorded in the Electronic Health Record (EHR), facilitating the creation of accurate bills and claims.
Transmitting the claim – The final stage involves coding procedures accurately and ensuring regulatory compliance before transmitting claims to payers. Sunknowledge’s expertise lies in electronic claims submission, facilitating a streamlined reimbursement process for timely payments.
Navigating medicare considerations – While urgent cares can bill using S codes to recognize after-hours treatment costs, CMS may pose challenges. Sunknowledge addresses the intricacies of Medicare billing for urgent care, ensuring reimbursement for services rendered. With a specialized facility code for urgent care centers (POS-20), Sunknowledge aligns billing with Medicare guidelines.
The Sunknowledge advantage for your urgent care billing:
Sunknowledge emphasizes the advantages of outsourcing, citing cost efficiency, year-round billing support, and expertise in delinquency collection. By partnering with Sunknowledge, urgent care practices can save on hardware and software costs, allowing in-house staff to focus on patient care activities.
What makes Sunknowledge the best solution so far?
- Year round billing support, minimizing downtime and maximizing revenue
- Expertise in delinquency collection, improving overall collections compared to in-house staff
- Cost savings on hardware and software, enhancing practice efficiency
- Seamless data transfer through EHR interoperability, ensuring accurate and efficient billing
- Reduced risk of billing and coding errors, ensuring compliance with regulatory agencies
Streamlining Urgent Care Billing for Success:
Sunknowledge as your strategic partner, you can navigate the intricacies with confidence. By streamlining billing processes, eliminating redundancies, and ensuring compliance, Sunknowledge empowers urgent care practices to focus on delivering patient-centered care while optimizing revenue.
Sunknowledge Services Inc. – an ISO 27001:2022 certified, American-owned & operated company, headquartered in New York City – is a leading global provider of Business and Knowledge Process Outsourcing services in the US healthcare domain.
