Urgent Care Billing Services for Increased Revenue

Get RevCure Urgent Care medical billing services and improve your practice’s efficiency and revenue. Our billing services will help you:

  • Stop losing revenue to payer downcoding of your urgent care
    Evaluation & Management claims.
  • Expert billing ensures compliant capture of all state-specific facility and modifier fees (POS 20).
  • Maximize collections from high walk-in volume with instant eligibility verification and faster A/R.
  • Achieve an industry-leading 98%+ clean claim rate to minimize denials and speed up payment.

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Why Does Your Practice Need Urgent Care Billing Services?

The High-Volume Trap: Overwhelmed staff miss critical verification steps for walk-ins, leading to massive revenue leakage and denials.

E/M Code Downcoding: Payers frequently reduce billed Evaluation and Management (E/M) service levels, which directly slashes revenue per visit.

POS 20 & Facility Fee Confusion: Complex and varying state rules for POS 20 and facility fee billing create costly rejection backlogs and compliance risks.

Slow Cash Flow: High patient volume requires rapid reimbursement, so waiting 60+ days for acute care claims severely restricts practice scaling.

How RevCure Medical Billing Services Handle Urgent Care Pain Points

RevCure understands these billing pitfalls clearly and offers personalized medical billing and coding solutions for your Urgent Care practice. We offer these services:

Maximum Reimbursement

Our certified coders specialize in urgent care E/M documentation to fight downcoding, leading to an average 99% clean claim rate.

24/7/365 Eligibility Verification

We pre-verify every walk-in patient, minimizing bad debt and capturing the correct copay/deductible at the Point-of-Service.

50-State Regulatory Expertise

As a national provider, we guarantee compliance with all regulations and payer rules governing urgent care facility fees and ‘incident-to’ billing.

Accelerated RCM Cycle

Our streamlined workflow reduces your Accounts Receivable (AR) days by up to 30%, ensuring your practice gets paid faster than the industry average.

Why Pick RevCure for Pulmonology Billing Services

Pick our one-stop shop podiatry medical billing solution to enjoy the following benefits. With these services, RevCure becomes your go-to partner for Pulmonology Billing

E/M Services

Our experts accurately code the appropriate E/M level (e.g., 99203-99215) for each visit, based on medical decision making and time spent. This prevents downcoding and ensures you’re reimbursed correctly for patient acuity and complexity, crucial for high-volume urgent care.

Minor Procedure Billing
We specialize in billing for procedures like stitches (laceration repair), foreign body removal, or abscess drainage. Accurate coding includes proper CPT codes, modifiers (e.g., -25 for separate E/M), and documentation to capture all services performed compliantly.
Diagnostic Imaging
Urgent care often involves in-house X-rays for fractures or foreign objects. We ensure correct CPT codes for the specific views taken, proper use of professional and technical components, and necessary documentation to support the medical necessity for each imaging study.
Lab Services
For common urgent care lab tests like rapid strep, flu, or urinalysis, we handle precise coding and billing. This includes correct CPT codes, knowing when to bill as point-of-care vs. send-out, and adhering to payer-specific rules for lab services performed in an urgent care setting.
Injections & Vaccinations
Billing for injections or vaccinations requires separate coding for the administration (CPT 96372) and the medication itself. Our team ensures proper documentation of the drug, dosage, and route, along with accurate CPT codes and modifiers for each.
Diagnostic Imaging Billing
A critical component of urgent care revenue. We ensure your claims accurately reflect the Point of Service (POS) code 20 and correctly apply any eligible facility fees or incident-to billing rules specific to the payer and state, optimizing reimbursement for your overhead.

Our Expertise in Handling CPT and ICD-10 Codes for Urgent Care Center Medical Billing

While working with RevCure , you can rest assured about regulatory compliance and code changes. Our 1100+ AAPC-certified billers and coders stay updated with Urgent Care regulatory and CMS changes. Our expertise lies in all urgent care billing codes, including:

99214

Office visit (Established Patient)

99204

Office visit (New Patient)

12002

Simple repair of superficial wounds

10060

Incision and drainage of an abscess

87880

Rapid Strep A Test

J02.9

Acute pharyngitis, unspecified

N39.0

Urinary tract infection (UTI)

R50.9

Fever, unspecified

S93.409A

Sprain of unspecified ankle ligament

How Outsourced Urgent Care Billing Services Help Practices Save Money

In-House Urgent Care Billing

Cost: $5000 / per year

The calculations are done for small to medium-sized practices.

Annual Salary: $25000 to $35000

Overhead Cost: $15000 to $25000

5% of Monthly Collections

Cost: $5000 / per year

The calculations are done for the practices earning around $100000 per year.

RevCure Rate: 5% on average

Total Cost: $100000 x 5/100 = $5000  

Upsides

Enhanced Revenue with RevCure Emergency Billing Services

Emergency Services handle critical, life-threatening trauma and illness 24/7. Their billing uses higher-level CPT codes and facility fees (POS 22) that are significantly more complex and scrutinized. Accurate triage documentation is important for justifying high-level reimbursement to avoid massive denials.

RevCure AAPC-certified teams eliminate compliance risks by mastering the distinct coding rules for each setting. We ensure urgent care gets maximum return on volume while hospital-affiliated practices secure appropriate reimbursement for highly complex emergency department cases.

Our Success in Numbers

Value of claims processed
$ 0 M+
Accounts Receivable Days
0
Accounts Receivable Days
0 Hours
Customer Retention
0 %
Value of claims processed
0 M
First Pass Clean Claims Rate
0 %
Revenue Improvement
5%- 10 %
Reduction in A/R
0 %

RevCure Onboarding Process for Urgent Care Billing and Coding

Our simple onboarding process makes it easier and quicker to outsource urgent care coding and billing to us. The following steps explain everything you will go through during the onboarding process:

Welcome Call

Our partnership starts with a meeting to discuss our workflow and set clear goals.

Implementation Questionnaire

We collect all the required data to adjust our services to your specific needs.

Onboarding Meeting

RevCure team securely accesses your EHR and billing platforms for a smooth integration.

Establishing Workflow SOPs

We finalize a customized plan that details every step of your billing cycle.

Go-Live DateSOPs

Your service officially begins, with our team managing your complete RCM.

We work with these EHRs

Our medical billing specialists know the workarounds of all the EHRs. We help you submit clean claims no matter which EHR you use.

Assisting Healthcare Organizations to Flourish

Our Satisfied Providers are our Testaments

Jackie Judd

Practice Manager Wilson Creek Internal Medicine

As a practice manager, I was looking to streamline the medical billing process. I tried other companies, but they were all complicated and took too much of my time. Fortunately, I found RevCure. They excel in tailoring solutions to fit my requirements.

Ashlee Rose

Practice Manager Harding Memorial Healthcare

We’ve been working with RevCure for 8 years now and I just wanted to say how happy we are with their services. They always get back to us quickly and are very easy to work with. They get my bills paid in record time and help us to generate millions in revenue.

Amber Vaughan

Office Manager Idaho Kidney & Hypertension Institute

As a practice manager, I was looking to streamline the medical billing process. I tried other companies, but they were all complicated and took too much of my time. Fortunately, I found RevCure. They excel in tailoring solutions to fit my requirements.

Frequently Asked Questions (FAQs)

How are urgent care services billed differently from primary care and emergency room visits?

Urgent care uses specific S codes (like S9083 and S9088) along with standard Evaluation and Management (E/M) CPT codes, distinguishing its claims from primary care or ER services. Billing also considers the higher costs and walk-in nature of urgent care visits.

Typical codes include 99202–99205 for new patients, 99212–99215 for established patients, and S codes like S9083 (global fee) and S9088 (urgent care service add-on).

Most urgent care centers accept a wide range of insurance plans, but coverage and patient responsibility (copay, deductible) depend on individual policies and may differ from other provider types

Billing staff verify eligibility at check-in and confirm the patient’s copay or deductible, facilitating prompt payment and avoiding coverage issues.

Certain E/M services can be billed according to the total face-to-face time spent with the patient, which requires precise documentation of the duration and type of service provided.