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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:
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. |
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