Our Services
Urgent Care Billing Services
Urgent Care practices handle high patient volumes, diverse services, and fast-paced environments. These factors make billing both challenging and time-sensitive. At Practice Claim, we provide specialized Urgent Care Billing Services to streamline your revenue cycle, reduce claim denials, and maximize reimbursements. Our expert team ensures that every visit, from simple laceration repairs to diagnostic testing, is billed correctly and paid promptly.
Why Urgent Care Billing is Complex?
Urgent Care centers offer a wide range of services, often overlapping with primary care, emergency medicine, and specialty care. This creates unique billing challenges such as:
- Proper coding for evaluation and management (E/M) visits based on time and complexity
- Handling high claim volumes with quick turnaround requirements
- Correctly billing for procedures, diagnostics, and lab services performed in-house
- Managing payer-specific rules for after-hours or extended care visits
- Avoiding denials from incomplete documentation or coding errors
Our Urgent Care billing experts understand these challenges and ensure clean claims that get paid without delays.
Components of Orthopedics Medical Billing
1. Patient Eligibility Verification & Authorizations
Before services are provided, our team confirms patient demographics, insurance coverage, co-pays, deductibles, and pre-authorization requirements. This prevents billing surprises and ensures a smooth reimbursement process.
2. Specialized Coding and Documentation
Urgent Care centers frequently use a mix of E/M and procedure codes. Some common CPT codes include:
- Evaluation and Management (E/M): 99202–99215 (new and established patient visits)
- Laceration Repair: 12001 (simple repair), 12011 (intermediate repair)
- Fracture Care: 25600 (closed treatment radius fracture), 28510 (toe fracture)
- Diagnostic Testing: 87880 (strep test), 87426 (COVID-19 test), 81002 (urinalysis)
Injections & Immunizations: 96372 (therapeutic injection), 90471 (vaccine administration)
3. Streamlined Claims Submission and Tracking
Claims are submitted electronically with payer-specific requirements built in. We monitor each claim until payment is received, resolving rejections or errors quickly to speed up reimbursement.
4. Transparent Patient Billing and Payment Posting
Our billing specialists handle patient statements with clear, professional formatting. Payments are posted accurately, reducing confusion and improving patient satisfaction.
5. Denial Management and Appeals
Orthopedics practices often face denials related to session length, lack of documentation, or authorization errors. We analyze each denial, appeal with supporting records, and recover revenue that might otherwise be lost.
Challenges in Urgent Care Billing
High Claim Volume
Urgent care centers handle large patient volumes daily, making billing errors more frequent if processes are not streamlined.
Modifier and Place-of-Service Issues
Urgent care billing requires accurate use of modifiers and the correct POS codes. Mistakes often cause payer rejections.
Wide Range of Services
Urgent care centers provide everything from sutures to x-rays. Coding for diverse services in real-time is complex without a strong billing system.
Advantages of Outsourcing Urgent Care Billing
Outsourcing your Urgent Care billing to our specialized service can provide numerous benefits, including:
Expert Handling of Complex Procedures
Our coders are very well versed with detailed procedures as well as the codes to be billed and hence any billing errors are almost eliminated.
Faster Reimbursement
Our claim submission is integrated and we also effectively handle denials, thus enhancing timely cash receipts.
Reduced Administrative Burden
Our extensive billing services save your in-house team time to attend to the patients only by providing minimal interference work and pressures.
Cost Efficiency
The decision to outsource can be beneficial because outsourcing is cheaper than having an independent billing department for small practices.
Data Analytics and Reporting
We offer comprehensive billing reports and analysis that can show you your business revenue status and areas of compliance concern.
Comprehensive Urgent Care Billing Services We Provide
At Practice Claim, our Urgent Care Billing Services cover every aspect of your revenue cycle:
Accurate CPT and ICD-10 Coding
Accurate Coding for E/M visits, minor procedures, and diagnostic testing
Compliance Management
Payer Rule Compliance for after-hours, telehealth, and urgent visits
Claims Submission and Tracking
with payer follow-up to minimize delays
Denial Management and Appeals
to recover lost revenue from underpaid claims
Customer Support
Reporting and Analytics for improved practice decision-making
Benefits of Outsourcing Orthopedic Billing to Practice Claim
Certified Coders
Our certified team is always updated on the latest in urgent care coding.
Compliance Assurance
We strictly follow the best practices in the industry and ensure our processes are in compliance with the most recent standards.
Advanced Revenue Cycle Management
We take full charge of billing from submission of claims, through Claims Management to posting of payments to enhance revenue.
Customized Solutions
Our services suit the needs of the individual practice, a group practice or a multispecialty center.
Proven Track Record
Urgent Care billing services have been successfully provided by us to practices all over the country, backed by similar improvements in collections and denials.
Frequently Asked Questions
Evaluation and management visits, diagnostic tests, minor procedures, and injections are the most frequently billed services.
Urgent care visits use standard office/outpatient E/M codes, while ER visits use facility-based codes that often carry higher reimbursement rates.
Denials often occur due to incomplete documentation, improper use of E/M codes, lack of authorization for certain services, or coding errors.
Outsourcing improves efficiency, reduces administrative burdens, and ensures accurate reimbursements so providers can focus on patient care.
Yes, urgent care centers can bill additional codes for extended hours or after-hours visits if properly documented and supported by payer guidelines.
