Why Urgent Care Billing Services Require Expert Management
Urgent care billing is a difficult task that involves challenges arising from a large number of patients, a wide range of diseases, and a variety of services. It is necessary for each encounter, from routine illness visits to procedures such as fracture care (CPT 25600, 25515) or laceration repairs (CPT 12001–12021), to have precise coding that reflects the complexity and, at the same time, allows rapid claim submission.
The management of modifier -25 for separately identifiable services, the correct use of the global fee code (HCPCS S9088) when applicable, and the differentiation between new and established patients add financial risk. Billing Care Solutions offers a specialized urgent care billing skill set that can meet these operational demands. Our certified coders guarantee correct reimbursement for level 4 and 5 E/M visits (CPT 99283–99285) and in-office procedures, while also ensuring compliance with payer policies that are changing and specific to urgent care practices.
Our Expertise in Urgent Care Billing
- ✔Experienced Billing Experts: Our team possesses extensive knowledge in urgent care billing and coding nuances.
- ✔Tailored Billing Solutions: We adapt our services to meet the specific needs of your urgent care facility.
- ✔Clear Patient Communication: We maintain transparent communication with patients regarding their billing inquiries and responsibilities..
- ✔Prompt Claims Processing: We prioritize timely claims submissions to minimize delays in payment.
- ✔Ongoing Support and Training: We provide continuous training and resources to keep your staff updated on best practices.
Enhance Financial Performance in Your Urgent Care Practice
< 25
Days in AR
40%
Revenue Increase
< 5%
Denial & Rejection
99%
Clean Claims Rate
100%
Client Retention
What You Need to Know About Urgent Care Billing Services
Our urgent care billing services deliver comprehensive revenue cycle management tailored to the fast-paced, diverse needs of urgent care centers. We perform top-coded high-volume E/M coding, procedure capture, modifier application, and charging with global fee codes like S9088 to ensure that every visit and service is billed and reimbursed correctly. Our team is handling documentation review, claim submission, and compliance with payer rules across broken bone care, laceration repairs, and emergency procedures, as well as drug screenings and employer-required physicals in occupational medicine. By implementing denial prevention measures and specialized appeals, we enable urgent care practices to increase income, reduce administrative burden, and focus on providing timely patient care.
Explore More SpecialtiesHigh-Volume E/M Level Coding
Accurate coding for level 3-5 visits, supported by thorough documentation for varied patient acuity.
Procedure Code Capture
Ensure no procedures are missed, including laceration repairs, fracture care, and other urgent care treatments.
Modifier -25 Application
Correct use of modifier -25 for significant, separately identifiable E/M services performed with procedures.
S9088 Global Fee Code Billing
Expert application of urgent care global fee code S9088 according to contract guidelines and payer rules.
Occupational Medicine Billing
Proper billing for employer-required physicals, drug screenings, and work-related injury care services.
Denial Management and Appeals
Strategic handling of denials with focused appeals to recover revenue for urgent care services.
Why Choose Our Urgent Care Billing Solutions
Our team manages the rapidly changing billing requirements of urgent care practices. We make sure that the claims are accurate, the reimbursements are done on time, and the administrative work is kept at a minimum so that your staff can concentrate on patient care.
Nationwide Urgent Care Billing Support
Urgent care practices are in a fast-paced environment where they have to deal with a wide range of patient needs, from minor injuries to acute illnesses. Our billing team takes care of accurate coding, timely claim submissions, and efficient revenue cycle management, which results in fewer denials and less administrative work. By handling your billing workflow, we give your staff the freedom to deliver prompt, quality care while your practice continues to bring in steady revenue.
Why Do Healthcare Professionals Choose BCS Medical Billing Services?
24/7 Rapid Response Time
Practice Health Plan
Error Free Billing
Practice Health Audit
Constant Revenue Boost
Claims Submission Success Rate
Fast Revenue Restoration
Free Consultantion Call
Urgent Care Billing FAQ's
In a new patient visit, use 99203 if you are taking into account the history, examination, and decision-making of moderate complexity. Make sure that the documentation supports the coding so that the office does not get denials and the reimbursement is maximized.
When coding a simple wound repair, use 12001. Document the wound length, location, and closure technique. Proper coding will prevent the issuing of claim denials and will ensure accurate billing of the services provided in the urgent care department.
Incision and drainage of a single abscess should be coded with 10060. You should describe the site and the procedure in detail. Proper documentation is the key to a hassle-free claims process and, thus, faster reimbursement from the insurance company.
When an EKG is performed with an interpretation, the correct code to be applied is 93000. Additionally, patient details and clinical findings should be recorded. Accurate coding is a major factor in ensuring that the provider will be reimbursed and is in line with proper reporting for urgent care billing.
Group A Streptococcus should be detected using the code 87880. It is also important to document the results, patient symptoms, and test type. Proper coding is the main reason why claims get accepted without delays or denials.
First, you need to verify the insurance eligibility of the patient, ensure that the procedures are documented clearly, and also that the right codes are applied. If you submit your claims on time and follow the payer rules, you will definitely reduce your denials and, at the same time, improve the cash flow of your urgent care practice.
Certainly, you just need to use the proper telehealth CPT codes in billing. Also, it is important that you document the patient consent, the visit details, and the clinical findings. When the correct coding is used, the payers will give the money for the service provided, and at the same time, the facility will be compliant with the policies of the payer.
There are payers who require a pre-authorization; therefore, it would be best to always check prior to X-rays. It is better if you document the medical necessity and if you have all the patient and procedure information so that you will not have your claims rejected or delayed.
First of all, you have to use 87804 as the code for the rapid influenza testing. Besides that, you have to include symptoms, test results, and patient information. The correct coding is what makes the payment proper, and at the same time, the reduction of unnecessary claim rejections is ensured.
First, you have to automate your claims processing, monitor the payer performance, and regularly conduct coding audits. Besides that, accurate documentation and submitting on time will facilitate collections, reduce denials, and improve overall practice revenue.
What Our Clients Say
Trusted by healthcare professionals and organizations nationwide for accurate billing and reliable results.
Jennifer Aaron
Cardiologist, HeartCare Clinic“Billing Care Solutions offers exceptional billing services with responsive and professional customer support. Their user-friendly system has streamlined our processes and reduced our workload. Any issues were resolved promptly and efficiently. Highly recommended for reliable billing solutions.”
David Lieske
Chief Strategy Officer“Billing Care Solutions LLC and Adnan Qamar have been assisting our organization with our billing services, and they have performed in a world class manner. Their collaboration with our Revenue Cycle Management Team and Clinical Management has been seamless and professional. Top notch!”
Linh Tran
Chief Finance Officer, My CHN“I have been working with Adnan and his team for more than 2 years. They are very knowledgeable in medical billing and very responsive to our needs. Adnan has good contacts with payers reps and familiar with payers’ requirements which help the works done quicker and easier ! I recommend his services to revenue cycle managers ! ”
Ashley Sahakian
Owner, Express Wellness LLC“I have experienced nothing but the best service and quick results when it come to their services. They are very friendly, and professional. They have really helped me grow my business! Thank you all so much! God bless!”
Zahid Mehmood
Manager BD, CRM“Organised and timely completion of the task. Adnan team handled the project with utmost professionalism and made the whole process seamless from gathering the requirements till completing the enrolment process along with keeping us informed through out the process.”
Melissa Renteria
CEO, Family Health Center“Excellent service and quick turn around, knowledgeable and friendly. I have worked with Adnan for years and I have enjoyed it, he is punctual on his projects and very efficient. I highly recommend using his services you won't be disappointed!”
Emily Kariuki
Owner, Home Health Agency“Great service. Professional, friendly, people who get the job done. The best”
Donna Taylor
Manager“very professional and great customer service. Would highly recommend”
Judy Kariuki
Operations Coordination Manager“So far, all expectations have been met. Billing Care Solutions work has resulted in fewer billing rejections and increased clients from the marketing efforts. The team has impressed the client with their rapid response and timely service delivery. Billing Care solutions communicates via email, messaging apps, and virtual meetings.”