Urgent care billing is complicated. The key to a successful urgent care revenue cycle management is to monitor and manage all aspects of the urgent care billing and coding process. Urgent care centers consistently face reimbursement issues primarily due to inaccurate billing and lack of understanding on payer requirements. Urgent care billing challenges include incorrect documentation, inaccurate coding and missing valuable charges. 

Solution? Outsource urgent care billing services to 3Gen Consulting. Urgent care billing begins at the front desk. Generally urgent care centers do not have a pre-registration process, which means the front desk would need to capture basic patient information for billing purposes when a patient walks-in for an appointment. Our work starts there. Due to the nature of urgent care services, typically there is no time to obtain prior authorization, which is why we recommend that each patient signs an affidavit of financial responsibility before receiving care to minimize urgent care billing issues. Once the front desk obtains patient demographic and insurance information and the provider updates medical records with treatment details, including notes and prescriptions, we will code claims and submit them to payers to get providers reimbursed for the services rendered.