Urgent care is a lucrative business. According to a report, the urgent care market is expected to reach more than $ 26 billion by 2023 due to its increasing popularity.
What is urgent care?
Urgent care is the gap between the primary care providers and the emergency room services. 86% of 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 that needed to be treated. For instance – a person suffering from fever that is not an 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 stagnant due to its billing guidelines.
Tips to resolve urgent care billing guidelines complications:
The billing process of urgent care and primary care is very similar. However, there are certain urgent care-specific codes that were originally designated by BCBS– beginning with an “S” – are only used for urgent cares services solely. The Urgent cares have two main options when coding and billing for services rendered - S9088 and S9083.
Though there are a couple of other S codes for the urgent care billing but virtually all encounters can fall under these two categories, with the exception of Medicare. As Medicare codes are separated.
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 through with codes but they should also require operational knowledge; which healthcare practices are struggling to find.
Today finding an in-house team that excels and is updated with the industry mandates, codes etc can be expensive. This is why providers are looking for a better alternative which is 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 industry, Sunknowledge is here catering to all your year-round billing needs.
For the last 15 + years, we have helped many healthcare practices improve their revenue and allowing them to focus on what matters the most- patient care.
We further reduce the overall operational cost by 80%, eliminating all the unnecessary expenditures like the staff’s salary and benefits etc.
Handling all the data entries, fixing all rejected claims, and managing old aging accounts receivable, our experts reduces the risk of billing and coding errors as well. Optimizing your workflows for maximum returns, with us you no longer have to spend your money on the costly collection process.
Ensuring the right checks and balance, partnering with us further ensures you with the highest first pass collection rate and a seamless billing approach.
So what are waiting for? Call 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.
