Hundreds of lab codes are expected to see reduced payment under a planned fee schedule change with Medicare which took effect January 1, 2018. The Aetna/United health group war of retail pharmacy and customers have serious consequences with urgent cares getting caught up in the middle of the rivalry.
♦ Urgent care centers that have to administer a lot of vaccines will be apprehensive and liable to take a payment hit from Medicare in 2018. The administration code 90471 (immunization administration) is going to take a 19 percent cut.
♦ The CMS clearly says when it comes to the urgent care industry that physical/occupational therapy specialties are likely to face a 2 percent cut under the proposed ruling.
♦ Many also think that with Medicare patients making up about 10 percent of most patient mixes in urgent care centers, payment changes are likely to have a minimal impact overall.
However, it cannot be undermined that as an urgent care practice, implementing transparency in the overall revenue cycle management should be a top priority. A streamlined urgent care billing effort has to be the benchmark. Urgent care providers might have to look for billing offices that can elevate their billing experience!
GoTelecare: Your Urgent Care Billing Partner
GoTelecare follows a manual process with posting denial ERA’s which shows the actual AR balance for follow up. It is not followed by many of our competitors that results in loss of revenue.
♦ We also do end to end AR follow up not only for Medicare and Medicaid, commercial but also for Workers Compensation and Travelers Insurance.
♦ In this manner, we are able to stop loss of revenue by determining actual AR and eliminate chances of frequent write-offs on old aging accounts that many urgent care billing companies do.
♦ We follow all the meticulous details with resolution oriented follow up on denied claims that cover sending over the corrected claims, reprocessing it over the call, appeals etc.
♦ We do not do any adjustments or write-offs unless it is pre-approved by our clients and has effective tracking mechanism in our urgent care billing efforts.
GoTelecare shares weekly write off requests for approval and only take appropriate actions with client permission. We believe in sharing observations, trends and all the best practices with our client’s team and are open to feedback sessions.
Also, as a 100% HIPAA compliant urgent care billing company, we provide you dedicated account managers who will be responsible to provide you with full account related information. Our well-planned transition, easy communication, and accessibility, the creation of detailed process manual, complete patient satisfaction with customer care services make us a champion urgent care billing destination.