shared Mistakes to Avoid in Urgent Care Billing

shared Mistakes to Avoid in Urgent Care Billing




Urgent care is, as the name indicates about sets which are required for an illness or injury that would not consequence in further disability or death if not treated closest, but does need specialized attention as it has the possible to develop such a threat if the treatment is delayed longer than 24 hours. Many new urgent care sets are cropping up by the day across the nation. It is necessary to follow a proper billing and coding course of action so that all claims are reimbursed and no claim gets lost. However billing mistakes commonly do happen in urgent care billing sets and claims can get rejected for various reasons. The reasons include,

  • Using wrong diagnostic codes
  • Rejection due to non-specificity of codes
  • On validation about medical necessity of service
  • Indirect linking of codes
  • Replacing physician sets with physician assistants (PAs) or nurse practitioners (NPs)
  • Using a not experienced coder
  • Hiring a not certified specialized coder
  • Billing confusion over “incident to” sets
  • Inefficient collection at the front desk staff
  • Urgent care center doing laboratory tests without a CLIA (Clinical Laboratory Improvement Amendments) waiver.
  • Using lasting medical equipment (DME) without a separate billing number
  • Using staff not aware of changes in healthcare reimbursement that affects payments
  • Coder not trained specifically for urgent care
  • Wrong person signing for “minor” patient claims
  • Not verifying at the outset the guarantor’s insurance card and identification
  • Using CPT codes 99281-99285 meant only for hospitals
  • Not being able to discriminate between new and established patients
  • It is true that there is often a shortage of urgent care specialized coders but one must remember that wrong coding can delay payments or already rule to litigation.




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