Urgent care centers have patients walk in to the clinics instead of seeking appointments, which is why such clinics do not have a pre-registration process. So, each time a patient walks in, the front desk person must take down all basic information for the purpose of billing.
But why exactly is a registration process required? Information collected during the registration process leads to the creation of an electronic health record (EHR). With the help of this EHR the staff work to take down patient notes, record treatment recommendations, document patient’s health history, and the like.
Due to the walk-in nature of appointments in urgent care centers, there is no proper registration process. Urgent care clinics also do not have the bandwidth to contact insurance companies to carry out a pre-authorization of the record.
Patients are expected to know the details of their medical plans and the kinds of costs that a walk-in facility will incur. Such a process can lead to billing issues and errors tend to get introduced while noting down the basic demographic information of a patient at the time of a walk-in.
It is due to these inconsistencies that many urgent care clinics are opting to outsource their medical billing services. The main reason to not do the billing in-house is the inconsistencies that creep in that can lead to losses and a low revenue.
But do these companies providing urgent care medical billing services really help? Let’s try and find out and also understand five major services these medical billing companies provide to urgent care centers.
1. Accurate Billing and Coding Services
The timely submission of medical bills and insurance claims without errors is of utmost importance for urgent care centers to maintain their revenue cycle. This is where urgent care medical billing companies come in.
They not only assist urgent care clinics to claim timely reimbursements but also help them cut down their costs and maximize their revenue. These companies have a highly trained staff that submits error-free bills, manages all the coding, billing, and processing procedures efficiently, and cuts down on costs as there is almost no denial or rejection of claims. Such professional billing companies are the ideal solution for urgent care centers to have a healthy revenue cycle and to offer top-class patient care services.
2. Experienced Billing Specialists
Companies providing urgent care medical billing services ensure they are staffed with an experienced and knowledgeable billing team that delivers quality work. The team includes certified coders, experienced accountants, and other trained support personnel.
The staff is kept up to date at all times about the billing procedures and the latest medical reimbursement rules. The personnel are adept at using advanced billing software and technology to maintain accurate patient records.
3. Error-free Patient Enrollment
To help insurance companies to easily access and collect necessary patient data with a single mouse click, urgent care medical billing companies electronically enroll patient details. This means they enter the basic information of patients from an urgent care center data system to create electronic records that insurance companies can easily access.
Enrolling every patient into the billing system eases the process of claiming for reimbursement and also the likelihood of a claim being denied is greatly reduced. Details that need to be submitted include demographic details of patients along with their insurance information. Companies providing urgent care medical billing services usually have a team focused primarily on patient enrollment so that every record is error-free and submitted on time.
4. Insurance Verification
Just as it is important to submit patient details with no errors, so is it important to verify a patient’s eligibility and insurance benefits. This is a crucial part of the medical billing process and companies cannot afford to have inconsistencies here.
Verification procedures are managed efficiently by professional medical billing companies that have teams of experts who verify every detail of a patient’s insurance details. The active medical plan, policy status, effective date, mailing address, co-pays, plan exclusions, deductibles, and such details are verified with the insurance company.
The reason an audit is essential is due to the sensitive nature of work. Even a slight error can result in major consequences. Every charge that is entered by the billing team is evaluated for accuracy and precision.
Nothing can be overlooked. During audit companies also check to see if the billing procedures are being followed as per the latest rules. Only HIPAA-compliant rules and regulations can be followed.
GMB Can Be Your Trusted Partner
Services offered by professional urgent care medical billing companies help urgent care clinics obtain maximum reimbursement and at the same time increase their revenue. If you too are looking to outsource you medical billing work to professionals who provide HIPAA-compliant data security, accurate and reliable urgent care medical billing services at attractive costs, all in a minimum turnaround time.