We Handle the Billing. You Handle the Healing
Urgent care billing moves at a different speed than primary care or specialty clinics. High patient turnover, rapid procedures, frequent testing, and payer-specific rules create risks. Unlike primary care, urgent care medical billing requires high-volume E/M accuracy, urgent care–specific CPT and ICD-10 coding, payer-driven turnaround timelines, and strict POS 20 vs POS 11 reimbursement alignment
We fix all of this with urgent-care–specific billing workflows, rapid coding validation, real-time eligibility checks, payer-rule automation, and aggressive A/R follow-up
Our outsourced urgent care billing and coding services manage the complete
urgent care revenue cycle, from front-end eligibility verification through payer
reimbursement and denial recovery
New/established patient E/M visits
After-hours & weekend visits
Tele-urgent care visits
Walk-in short-visit documentation
Occupational health evaluations
Worker’s compensation visits
Facility vs nonfacility POS alignment
Laceration repairs (simple, intermediate, complex)
Splinting & casting
Foreign body removal
Wound debridement
Burn treatment
Fracture care (closed treatment)
Abscess incision & drainage
X-ray (single view, multiple views, interpretation)
EKG/ECG
Ultrasound (when applicable)
Interpretation of add-on codes
POCT panels
COVID-19 PCR & antigen testing
Influenza A/B rapid test
Strep test
RSV testing
Blood glucose testing
Urinalysis
Pregnancy test
Lipid panel / metabolic panel
Therapeutic injections
Nebulizer treatments
Trigger point injections
Cryotherapy
Joint injections
Ear irrigation
Nail removal
Virtual check-ins
Tele-consults
Re-examination follow-ups
Re-examination follow-ups
Re-examination follow-ups
All billing workflows align with Centers for Medicare & Medicaid Services (CMS) guidelines, NCCI edits, HIPAA requirements, and commercial payer policies
Covers 15–30 minute tests → ensures correct coding, medical necessity, and bundling accuracy.
Lacerations, fractures, burns → auto-apply correct complexity levels + documentation mapping.
Support for solo practices, group clinics, and
multi-location organizations.
Handles after-hours codes, urgent-care POS, and payer-specific weekend rules.
Employer forms, injury documentation, panel
rules → dedicated workflow.
Automatic differentiation between POS 20 vs 11 for correct reimbursement.
For every urgent care encounter, we complete
Documentation verification
CPT/ICD cross-walk for acute, diagnostic, and procedural care
NCCI edit scan
POS code validation
Modifier review (after-hours, procedural, diagnostic)
Medical necessity + frequency rule checks
Prior authorization (when required)
Compliance and payer-specific alignment
Fix: Automated MDM/time evaluation.
Every claim is coded, checked, and validated with precision.
Every claim is coded, checked, and validated with precision.
Every claim is coded, checked, and validated with precision.
Every claim is coded, checked, and validated with precision.
CO-50
CO-16
CO-151
CO-97
PR-1
CO-109
Not medically necessary
Missing info
Frequency limit
Bundled service
Deductible
Not covered
Rapid tests & imaging
Injury notes or test documentation
Repeated tests
Tests bundled with the visit
High-volume Medicare visits
Occupational health
Correct ICD + attach results
Add notes + demographics
Eligibility + reschedule
Apply appropriate modifiers
Collect upfront
Verify employer plan
Speak with urgent care billing experts who manage same-day visits,
rapid diagnostics, and payer-driven urgency rules
It requires rapid-turnover coding, POS 20 alignment, fast diagnostic billing, and strict NCCI handling.
Yes. We bill after-hours and weekend urgent care visits using correct CPT modifiers, POS validation, and payer-specific rules
Yes, including interpretation, documentation, and medical necessity checks.
Most centers see improvement within 30–60 days.
Yes, with dedicated pods for each location.
We integrate with major urgent care EHR and EMR platforms to support automated charge capture, coding validation, and operational reporting
