With 20+ years of experience in urgent care billing and coding, 314e’s HIPAA-compliant team is one of the most trusted urgent care billing companies for U.S. urgent care centers seeking to outsource their medical billing services. Reduce denials, speed up payments, and maintain a healthy cash flow with help from our urgent care revenue cycle management company.
With a dedicated VoB team and a real-time eligibility verification process, the correct HMOs and MCOs are identified to be billed within 24 hours of the onset of service. This ensures a seamless workflow without the need for pre-visit privileges, unnecessary rejections, and denials.
Our AAPC-certified medical coders are capable of providing comprehensive coding solutions, including HCPCS, ICD-10, CPT, payer-specific, and offshore coding audits for lab tests, imaging, and injections. Coding audit also emphasizes the payer guidelines specific to the services like COVID-19 pandemic for specified ICD codes and symptoms, to avoid denials and quick revenue flow. In any urgent care facility there are probabilities to deal with any/all medical needs. So, our coders are trained to look into each medical record with an exclusive perspective to code it right the first time.
We ensure efficient payer management, which includes our navigation skills on various insurance portals like United Healthcare, Optum, Availity, Blue Cross Blue Shield, Tricare, Medicaid, Cigna, and Aetna. Our qualified Accounts Receivable team understands contract negotiations like Case rate/Global rate/Flat rate and fee for service arrangements that add up to the accurate revenue flow and transparent book keeping.
We streamline the post-treatment billing and coding audit. Streamlined documentation within the Practice Management System (PMS) for details like referral and authorization for specialized care facilitates smooth transitions for patients requiring further care. This ensures comprehensive healthcare delivery beyond urgent care needs.
Our team expertly handles appropriate billing, based on the client-provided specifications. To ensure accurate billing, we enter the correct subscriber information, insurance details, and patient demographics. We then review and apply the right codes, preventing errors like upcoding or downcoding.
These measures minimize claim rejections, billing errors, and financial risks while promoting adherence to regulatory standards.
Unpaid claims can significantly obstruct profitability. To address this, we diligently follow up with payers whenever physicians receive insufficient payment or no payment at all.
Our process includes thoroughly analyzing billing, insurance, and aging reports to efficiently manage and resolve claim denials. By doing so, we ensure that all claims are addressed promptly and accurately, minimizing financial disruptions and enhancing overall revenue management.
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We partner with a variety of popular EHR and billing software, including:
Please contact us to verify compatibility with your specific software.