Using the right modifier
While the rules may vary between government and commercial payers, there are two circumstances when a physician can bill under another physician’s provider number. Both arrangements apply to physicians only, not mid-levels.
The Giant eBook for Billing and Operations
Want to learn more about urgent care billing and operations? If so, the Giant eBook for Urgent Care Billing and Operations is just for you. This one-of-a-kind resource will answer all your questions and guide you every step of the way. It has 40 pages of urgent care billing and operations tips, questions, timelines, and so much more.
Urgent Care Best Practices for Anti-Kickback Statute Compliance
The Anti-Kickback Statute (AKS), was first in place in 1972 to curb abuse and Medicare and Medicaid fraud stemming from medical professionals offering services to receive benefits outside regular fees and reimbursement. Learn how to stay compliant.
False Claims Penalties: How urgent cares can lower the risk and stay compliant.
The urgent care business is booming. What that means for you is more patients—and more claims. Processing an increasing number of claims can be a challenge for clinics, especially regarding compliance. Here’s how you can lower your risk.
Nine Questions Urgent Cares Should Ask Before Hiring a Collection Agency
For urgent care clinics and healthcare providers in general, a backlog in accounts receivable (AR) isn’t unusual. Collecting unpaid debt is a burden that can be lifted by hiring a collection agency. Ask these questions before you make your choice.
Issue 05: An Analysis of ICD-10, CPT®, and E/M Coding Trends Over Five Years
In this Urgent Care Quarterly, we explore coding trends over the last five years as they relate to urgent care. We look at ICD-10, CPT®. and E/M codes to provide greater insight into what these trends mean for on-demand healthcare providers.
Sneak Peek – Issue 05: How Does E/M Coding Affect the Financial Health of Your Urgent Care?
Research verifies that average reimbursement per visit for new patients is higher than for established patients at every E/M code level. Is your marketing effectively drawing in patients when they need urgent care? Use these tips to help you attract them.
Issue 04: Urgent Care Reimbursement Trends 2013-2016
Revenue is the lifeblood of your urgent care business and reimbursement per visit is an important indicator of performance. In this issue of the Urgent Care Quarterly, we look at reimbursement trends over four years and provide performance benchmarks. Take a look.
Sneak Peek – Issue 04: What’s the Average Reimbursement for Urgent Care Visits?
Reimbursement per visit is an important indicator of your urgent care clinic’s performance. But many factors affect reimbursement—and your success. Check out our list of things to watch and questions to ask.
Top 8 Ways to Increase Urgent Care Revenue
For urgent care owners and providers, the costs of doing business can really add up. How do you continue to be profitable in a very competitive market? It begins with increasing revenue. Learn the top eight ways to increase clinic revenue, even when business is ebbing instead of flowing.
On-target Medical Coding Keeps Your Urgent Care in the Game
In the urgent care industry, financial success is tied to accurate medical coding and claim processing. Make sure your staff has what it takes to make sure the process is seamless and efficient. and always make sure you’re not leaving any revenue on the table.
RCM Keys to Success at the Front Desk
The front desk staff is often the first person your patients talk to—which sets the tone for every patient visit. This position is also critical to your urgent care’s financial success. When filling the seat at your front desk, choose wisely, and use our six strategies of front desk RCM success.