Next Level Medical Billing Services has extensive expertise offering urgent care billing services for various US based urgent care facilities. Our urgent care billing professionals have a thorough understanding of the challenges involved in filing urgent care claims and have in-depth knowledge of reimbursement guidelines.
We apply this knowledge to optimize your medical billing process and ensure optimum reimbursement in the shortest amount of time. If your revenue leaves anything to be desired, the problem could be your urgent care billing process.
Urgent Care Medical Billing Services We Offer
We specialize in reliable urgent care billing services designed to meet the unique billing needs of urgent care facilities. Our offerings include:
Precise Data Entry
Our team records and verifies detailed information from urgent care centers and enters it accurately into the system to prevent any errors in the billing process, ensuring smooth claims submission.
Claims Completion
With years of urgent care revenue cycle management experience, we offer exceptional scalability and flexibility in submitting both electronic and paper claims, strictly adhering to the rules set by each insurance carrier.
Practices Reports
Tailored to the specific requirements of each urgent care facility, we provide timely reports and updates via email to keep you informed of your practice’s financial health.
Payments Posting and Audits
Once payments and explanations of benefits are received, we promptly record every detail in our system. We also conduct payment audits to ensure your urgent care facility receives accurate and maximum reimbursement.
Appeals Handling
When insurance companies issue incorrect payments or deny claims, we take swift action to address these issues. Our team thoroughly investigates each denial, identifies the cause, and initiates the necessary appeals to secure the correct reimbursement for your urgent care facility.
Customized Reporting Schedule
We offer a tailored reporting schedule based on the specific needs of your practice, providing customized reports on a daily, weekly, or monthly basis.
Regularly Updated Fee Schedules
Maintaining accurate fee schedules is crucial for collaborating with insurance companies, particularly in urgent care, hospital, or emergency room billing. We ensure that fee schedules are updated annually and on time. As part of our urgent care billing services, we negotiate and establish fee schedules that account for inflation and cost-of-living adjustments, ensuring optimal reimbursement.
Claims Follow-Up
Next Level Medical Billing Solutions is dedicated to maintaining up-to-date aging reports and diligently following up on claims submitted to insurance companies, ensuring prompt reimbursement.
Next Level Medical Billing Services Billing Urgent Care Revenue Cycle Management Process
As an independent facility, we recognize your goals and have the expertise to help you achieve them. Next Level Medical Billing Solutions has provided transformative medical billing services to hospitals, emergency rooms, and urgent care centers across the United States, aimed at increasing cash flow, reducing costs, and enhancing revenue cycle management. The key steps in our urgent care RCM process include:
- Super Bills and Health Records Analysis: We obtain super bills and health records from the provider’s office and conduct thorough evaluations to ensure the implementation of proper billing measures.
- Demographic Verification and Insurance Benefit Investigation: We meticulously verify patient demographics and investigate insurance benefits to ensure accurate billing.
- Chart Abstractions: Our Certified Professional Coders (CPCs) perform chart abstractions, utilizing medical and diagnostic data to accurately assign CPT codes and modifiers.
- Charge Entry: Coded claims are directed to the charge-entry department for processing.
- Claim Audits: We conduct audits to ensure that completed claims comply with Medicare and HIPAA regulations.
- Claims Submission: Claims are forwarded to insurance companies via a clearinghouse for processing.
- Denial Management: Rejected claims are corrected and resubmitted by our denial management department.
- Claims Follow-Up: We diligently follow up on claims within 30 calendar days to ensure timely processing.
- Posting ERAs and EOBs: We efficiently post Electronic Remittance Advice (ERAs) and Explanation of Benefits (EOBs) into our system.
- Accounts Receivable Monitoring: Our AR follow-up department actively monitors outstanding medical claims to ensure prompt collection.
Why Choose Next Level Medical Billing Solutions for Urgent Care Revenue Cycle
Management
We provide revenue cycle management services specifically tailored to meet the clinical and financial needs of Urgent Care Centers. With extensive experience in clinical documentation and associated workflows, our team excels in managing the revenue cycle for urgent care facilities. This expertise allows us to implement best practices in coding, billing, and collections right from the outset, ensuring optimal efficiency and effectiveness in your operations.
Summary of Benefits You Can Expect from Outsourcing Urgent Care Billing Services
By outsourcing your urgent care billing services to Next Level Medical Billing Solutions, you will collaborate with a specialized team that excels in expediting claims processing and enhancing your revenue. The benefits you can enjoy include:
- Billing accuracy of 99.9%
- Total collections of up to 98%
- Improved revenue flow
- Significant reduction in denials
- 100% error-free patient demographics entry, resulting in a 30% decrease in accounts receivable days
- Transparent procedures and fees
- Comprehensive data protection
- No write-offs or modifications without prior approval
- Customized services tailored to your needs
RCM Software Support from Next Level Medical Billing Solutions
Billing software plays a crucial role in the revenue cycle management process. Given that billing and administrative tasks can be time-consuming and heavily reliant on paperwork, modern medical billing software systems are designed to maximize efficiency in medical coding, claims filing, and tracking.
At Next Level Medical Billing Solutions, we facilitate the use of your existing software, ensuring a seamless transition without any downtime, training requirements, or additional fees. This approach allows you to deliver more profitable services to your patients. With extensive experience in the healthcare and medical billing industry, we understand our clients’ needs and tailor our services accordingly.
Our team is well-versed in various medical billing software solutions, including but not limited to Kareo, EMR, Docutap, CollaborateMD, eClinicalWorks, AdvancedMD, and Medisoft.
We implement rigorous quality control procedures and structured billing processes to guarantee error-free billing and effective revenue cycle management.