Urgent Care Blog

Beginning Feb. 1, 2025, UHC is adding the following GA modifier requirement for their commercial plans. If you know or...

On November 1, the Ohio Department of Medicaid (ODM) announced four managed care organizations to serve as the Next Generation...

We blinked and it is November already. Holy Smokes! We are deep into the fourth quarter of 2024 and you...

Amount and/or Complexity of Data to Be Reviewed and Analyzed is one of three elements that determine the level for...

CDPHP: Issuing of EOBs during the Change Healthcare Service Outage  As a result of the Change Healthcare security issue and...

Sanford Health Plan: Change of Mailing Address  Sanford Health Plan has changed the mailing address for Medicare Advantage claims submitted...

RCM Operations Director: Brianna Crowley A growing concern in the healthcare system is the increased amount of diagnosis denials. Insurance...

How are we preparing for the end of year already? Didn’t 2024 just begin? Unfortunately, we are heading into fall...

The Challenges of Billing Out-of-Network One of the biggest challenges for an urgent care is billing insurance as a non-participating...

Not recouping revenue owed is the number one most solvable urgent care billing issue most urgent cares have. This includes...

latest update: 4/4/2024 Experity/Waystar Webinar [UPDATED 4/4/24] Experity partnered with Waystar to host a second, one-hour webinar for SaaS clients...

Learn about four Notifications of Enforcement Discretion that expired with the end of the public health emergency (PHE.)