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Refresher: Guidelines for E/M Coding  

Hard to believe that the new E/M guidelines have been in place for urgent care for four years.  These guidelines...

Feb Industry Notes: Medicare Updated MBIs/Member IDs Causing Rejections 

According to a CMS press release, a security vulnerability in the MOVEit software used by Wisconsin Physicians Service Insurance Corporation (WPS)...

How To Register a Medicare Beneficiary  

At the end of every year, Medicare beneficiaries pick the insurance they want for the next year at open enrollment....

What’s New in Telemedicine for 2025? 

The American Medical Association (AMA) added a Telemedicine Services category to the Evaluation and Management section of CPT. Codes are...

How Does Data Reviewed Work When Coding E/M? 

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

The Quandary of Opening an Urgent Care Without Contracts 

Alan A. Ayers, MBA, MAcc is President of Urgent Care Consultants and is Senior Editor of The Journal of Urgent...

Navigating the Complexities of Contracting and Credentialing in Urgent Care

Contracting and credentialing providers is a complex process that keeps evolving for urgent care. The number of payers involved, rules...

Navigating Diagnosis Denials

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

ICD-10-CM: What’s New for 2025

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

Billing Out-of-Network, Flu Season, and Industry Updates

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

Front Desk Best Practices for Accurate Billing in Urgent Care

Oversights and errors in front desk operations can result in rework, denials, or rejections. Safeguard your revenue and your team’s...

Urgent Care Billing Best Practices for Optimal Revenue

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

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