Urgent care billing services

Urgent care centers face a unique set of billing challenges. From fluctuating patient volumes and walk-ins to high claim rejection rates and inconsistent documentation, the billing process must be fast, flexible, and highly accurate.

Unlike primary care or specialty practices, urgent care billing services often involves high turnover, same-day visits, and a mix of services from X-rays and sutures to IV therapy and minor surgical procedures. This requires accurate CPT, ICD-10, and HCPCS coding, real-time eligibility checks, and quick claim submission to ensure timely payments.

Our urgent care billing experts bring speed and precision to your revenue cycle, reducing AR, improving collections, and ensuring regulatory compliance at every step. We ensure fast claim turnaround (often <48 hours), accurate modifier use (-25, -59), and adherence to urgent care-specific documentation standards.

Our Urgent Care Billing Services Include:

Patient Eligibility & Insurance Verification – Real-time checks to confirm active coverage, copay, and deductibles.
Charge Capture & Medical Coding – Accurate coding for same-day visits, after-hours charges, and procedures like laceration repair (e.g., CPT 11042–13160) or splint application.
Claim Scrubbing & Submission – Submission within 24–48 hours with built-in checks for coding errors or documentation gaps.
Accounts Receivable (AR) Management – Constant tracking, follow-ups, and AR aging reports to speed up payments.
Denial Management & Appeals – Proactive resubmissions with documentation and root cause analysis.
Patient Billing Support – Clear statements, multiple payment options, and responsive communication.
Coding Compliance & Audit Readiness – Aligning with payers and HIPAA standards to ensure accuracy and compliance.

Common CPT Codes in Urgent Care Billing

New Patient Office Visits: 99201–99205
Established Patient Office Visits: 99211–99215
Emergency Department Visits: 99281–99288
Procedures: 11042–13160 (wound care), 96372 (injections)
Diagnostics: 81002, 87804, 99291 (critical care)
Vaccinations: 90471–90474
Other codes: S9083, S9088 (facility fee)

Why Choose Our Urgent Care Billing Services in New York?

98% clean claim rate
<4% denial benchmark
95%+ net collection rate
35–40 days in AR
HIPAA-compliant billing team
<48-hour turnaround on most claims
Seamless integration with EMR/EHR
Regular chart reviews and compliance monitoring

Who We Help

Independent urgent care clinics
Multi-location urgent care networks
Health centers with urgent care services
Hospital-affiliated urgent care facilities

Let Us Handle Your Urgent Care Billing

Running an urgent care center means quick decisions, rapid diagnoses, and continuous patient flow. With us handling your billing, you can focus on patient care while we handle coding, compliance, and collections with precision.

Book a Free Urgent Care Billing Audit Today!

Frequently Asked Questions (FAQs)

1. How fast do you submit claims?

We submit clean claims within 24–48 hours of charge capture.

2.Can you bill for urgent care labs and procedures?

Yes, we accurately bill for on-site labs, injections, wound care, and minor procedures.

3.What makes urgent care billing different from primary care billing?

Urgent care involves more on-the-spot services, varied payer types, and high volumes, requiring faster, more accurate coding and billing workflows.

4. Do you handle modifiers like -25 and -59 for urgent care services?

Yes. We ensure proper use of modifier -25 (separate E/M service) and modifier -59 (distinct procedural service) to reduce denials and ensure appropriate reimbursement.

5. What CPT codes are typically used for urgent care visits?

Commonly used CPT codes include 99201–99215, 99281–99288, and 11042–13160, along with diagnostic and injection codes like 96372.

6. Can you improve collections on legacy AR?

Absolutely. Our team has a track record of achieving up to 35% recovery on aging AR, along with a 15% improvement in current accounts receivable through proactive follow-ups and denial resolution.

Certifications

We designated a phenomenal HIPAA Compliance manager for applying, administering and assuring all transactions underwent within the criteria of the HIPAA rules and regulations.

Company

Services

Call Us : +1 (631) 417-0212
Mail Us : info@medquiksolutions.com
Address : South Setauket, NY 11720, USA.