Running a successful urgent care practice in terms of finances majorly depends on timely reimbursements and revenue generated. But this success depends to a large extent on how efficiently the medical and billing process in your urgent care center functions.
It is a long and complex process with high chances of failure, especially if handled by resources who are not experienced and up to date about the changing billing and coding rules. From updating patients’ information, claims, and payments to follow-ups, the medical billing process is quite challenging and thus affects every area of your urgent care practice.
Listed below are the five biggest challenges that the medical billing process faces. But these challenges can be managed if the billing process is handled by experts who have years of experience in providing urgent care billing services:
- Payment and Claims Denials
Refused or denied claims are the most common challenge of the medical billing process. In general, payers deny about 5% of the claims, and about 50% of those denied claims never get resubmitted. If your practice also has a high denial rate, it can become a big concern. To address this you can always hire urgent care billing services in Florida to reduce the rate of claim denials.
- Eligibility Verification of Patients
Another reason that leads to claims being denied is the entry of incorrect records of patients. It is for your front-desk staff to verify every patient’s insurance details at the time of appointment. On-time verification reduces the risk of delayed reimbursements and also gives patients ample time to self-pay for the services.
- Inaccurate Recording of Patient Information
Timely claims require accurate patient information. If somehow your urgent care center fails to do that, insurance claims will not be accepted. That is why it is crucial that you hire staff that ensures no mistakes are made while collecting patient information. Be it the name, address, insurance policy number, or contact details, every detail has to be on point. Also, don’t forget to update the demographic information.
- Lack of Automation
Urgent care practices that do not use billing and coding software for billing purposes usually face a lot of delayed claims. Lack of automation means you have to do the billing work manually, which takes a considerable amount of time and can cause a lot of errors too. Also, the lack of technology makes it tough to manually manage the billing procedures and claims effectively.
- Incorrect Coding and Documentation
Medical billing is a time-consuming process, especially if you do it manually. To simplify this process, your medical billing specialist needs to start using accurate coding and documentation. You can use the EHR (Electronic Health Record) to register patient details, which include medical history, medications, demographics, progress notes, and more. EHR also helps ease the billing process and helps your staff maintain error-free patient records.
GMB Specialists Can Help Solve your Medical Billing Challenges
Traditionally, healthcare providers carried out medical billing procedures manually, but with the advent of technology, the procedure became electronic and easy. And this transformation has led to saving of time and money as well as reduced human and administrative errors. However, your team will need assistance or training to start the automation process.
If you do not provide any training, you cannot expect accuracy, which may result in claim denials. While this is the biggest challenge most urgent care centers face in their medical billing process, you can always contact Gables Medical Billing for urgent care billing services in Florida. With years of expertise handling the billing process, specialists at GMB can help your urgent care practice thrive as well as reap great profits.
We offer customized solutions so you can grow your urgent care center as per your needs. You also have unlimited access to GMB’s urgent care billing specialists 24/7. Call 786-725-2120; 855-469-1422 to know more.
