![]() Medicare will reimburse urgent care for services rendered, but it’s important to note that it may not reimburse facilities for the naturally higher costs of providing walk-in care. Medicare uses a special facility code for urgent care centers (POS-20), but it still processes claims as if it were a primary care office (i.e., using codes POS-10 or POS-11). ![]() CMS, however, may be less likely to pay for urgent care services, and errors in billing can only delay the process of reimbursement. In general, urgent cares can bill more for their services using S codes, recognizing that after hours treatment costs more. Generally, medical software aids in the recording of patient information and the creation of claims for reimbursement. Most healthcare practices submit their claims electronically, as this is the most accurate and expedient way to get reimbursed. An accurate bill helps ensure a streamlined reimbursement process, which helps ensure that you, as the healthcare provider, get reimbursed in a timely fashion. The bill that the insurance company receives includes essential information about the diagnosis, procedures, and associated charges. The final part of the billing process, after each medical procedure has been properly coded and checked for regulatory compliance, is to send it out to the payer. This helps create an accurate bill to facilitate in the creation of the claim and the collection of the patient balance. Post-Visit Follow UpĪs a patient receives services from a physician or other provider, they should record all procedures and relevant information in the EHR. To avoid potential billing issues, it is important for each patient to sign an affidavit of financial responsibility prior to receiving medical services. ![]() Patients should be familiar with their plan information and know what kinds of costs they can expect to incur from a walk-in facility. Confirm Financial ResponsibilityĪn urgent care clinic does not always have the time to call insurance companies to obtain pre-authorization for services. If a patient is a repeat visitor, it is important to make note of any patient demographic or insurance information at every visit. An up-to-date patient record with thorough notes makes the billing process much more streamlined. Providers and support staff will work collaboratively within the EHR to make patient notes, record health history, treatment recommendations, and more. Ideally, information during the registration process will facilitate the creation of an electronic health record (EHR).
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