Many patients don’t think about “urgent care” until the moment they need treatment. Likewise, few people think of urgent care when considering a routine check-up at the doctor’s office. Perhaps it’s time for that to change. The main demographic served by urgent care consists of “working age” adults, 24-54, and their families. Historically, these patients lack a primary care provider (PCP). Whereas children have a pediatrician and seniors in a Medicare plan are likely served …
Read MoreDecreasing Denials and Rejections Through Your Urgent Care Operating Model
A wise person once said, “If a claim is rejected or denied, the energy to get it paid is five times the energy if it went through as a clean claim.” Maybe it is only four times or three times the work, but the point is that we should all do everything we can to avoid rejections and denials! Unlike more complicated specialties subject to complicated coding, authorization, and other factors, in an urgent care …
Read MoreRefunds: How to Avoid Them
Refunds have always been a challenge in healthcare. Not only do they create an administrative burden but there is also the potential for compliance risk. Some common causes for refunds are: Not validating the patient’s insurance eligibility and collecting the wrong copay amount Choosing a blanket amount to collect from all patients up front regardless of whether they have insurance (ie, over collecting at the time of service) Sending statements too early, causing duplicate payments …
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