Subscribe to out newsletter today to receive latest news administrate cost effective for tactical data.

Let’s Stay In Touch

Shopping cart

Urgent Care

Urgent Care

Urgent care facilities operate in a fast-paced environment, handling a wide range of acute conditions and walk-in patients. QuantumX optimizes billing for urgent care providers with:

QuantumX provides:

  • Streamlined Coding: Accurate coding for diverse procedures, from minor surgeries to diagnostic tests like X-rays and lab work.
  • Rapid Claim Submission: Ensuring quick turnaround on claims to match the high patient volume of urgent care settings.
  • Denial Reduction: Specialized denial management to address common issues like medical necessity documentation.
  • Patient Billing Support: Clear communication with patients regarding co-pays, deductibles, and insurance coverage.
QuantumX’s urgent care billing services reduce claim denials by up to 70% and accelerate payment cycles, ensuring financial stability for busy clinics.

Urgent care billing involves specific CPT codes like S9083 and S9088, with a focus on bundled payments. QuantumX can manage insurance billing, collect co-payments, and use the correct place of service code (POS-20) to differentiate from other settings, improving reimbursement rates.

Urgent care billing involves both insurance and self-pay options, with specific CPT codes like S9083 (global fee for urgent care visit) and S9088 (services in a non-Medicare urgent care setting). The Urgent Care Association reports that urgent care centers handle 89 million visits annually, with billing complexities due to bundled payments, as highlighted by Medwave. The place of service code (POS-20) is critical to differentiate urgent care from primary care (POS-11) or emergency rooms, ensuring higher reimbursements. QuantumX can manage insurance verification, collect co-payments, and handle claim submissions, reducing denials and improving revenue cycle efficiency, especially given the high patient volumes.

 

Billing Challenge QuantumX RCM Solution
Fast-Paced High Volume Streamlined coding for services like minor procedures, X-rays, and labs.
Slow Claims Turnaround Rapid claim submission to keep up with walk-in volume.
Medical Necessity Denials Pre-submission validation and documentation support.
Patient Confusion on Billing Clear communication on POS-20 billing, co-pays, and deductibles.
Let’s Talk