Chat with us, powered by LiveChat
home
Plutus Health Specialties

Urgent Care Billing Solutions

Urgent care clinics acts as a gap between primary care provider and the emergency room.

Get Started

Please enter your details below and one of our team members will contact you shortly.


Website


Website
*We Value Your Privacy.
*We Value Your Privacy.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Urgent care clinics acts as a gap between primary care provider and the emergency room.

Plutus Health understands the complexities around urgent care billing, coding, payer contracts, and compliances. These complexities often prevent your practice from getting the reimbursement it deserves. It shouldn't be so hard to get paid. Our urgent care billing services can help.

 

Why do urgent care clinics trust us?

Plutus Health Inc. is an expert in urgent care billing solutions. We provide customizable urgent care billing services to various US-based healthcare facilities. Our goal is to ensure that your claims are paid fast and boost your revenue stream.

 

When you choose Plutus Health Inc. to be your urgent care billing partner, you can expect

  • Accurate billing and patient demographics entry
  • An immediate increase in total collections and overall revenue flow
  • An instant drop in denials
  • Faster AR processing
  • Complete data protection
  • Transparent fees and processes
  • Payment audits
  • Appeals management
  • Claims follow-up
  • Regular reporting
  • Personalized services
  • Extraordinary flexibility and scalability

Our team uses structured billing processes and stringent quality control procedures to ensure error-free urgent care billing services. With our in-depth understanding of the latest reimbursement guidelines, we can prevent problems associated with urgent care claims filing before they even happen.

If there are denials or incorrect payments from insurance companies, we can file appeals on your behalf until you receive the correct reimbursement. We can also negotiate and create accurate fee schedules.

 

How Plutus Health Helps Urgent Care Clinics?

Plutus Health's coding team is an expert in applying AMA guidelines in reviewing medical records. It can determine the appropriate code for an office visit for evaluating and managing an established patient, which is tricky as code 99214 typically requires at least two of these three key components.

We bill the services rendered at Urgent cares centers using appropriate S codes ( S9088, S9083) with the E/M Level codes like 99213, 99214, and 99204 to get a higher reimbursement with zero risk of billing and coding errors.

We also ensure the practice remains compliant with regulatory agencies, like the Office of the Inspector General and CMS.

 

What makes us different?

Our urgent care clients handle patient conditions similar to a primary care physician's office. However, when it comes to Urgent care billing, Plutus Health Urgent care coders and billers have the skills to recognize urgent care-specific "S" codes that are usually different in usage than codes used in a primary care setting.

Plutus health urgent care coders review the level of complexity to determine the use of codes such as 99213 vs. 99214 to ensure compliance and accurate reimbursement. Finally, our coders also leverage codes such as 99204 for new patients of our urgent care clients as long criteria such as a comprehensive history, comprehensive exam, and medical decision-making of moderate complexity are met, ensuring compliance and revenue.

 

Plutus Health's Urgent Care billing team leverages multiple options when coding and billing for urgent care services rendered

  • S9088 "treatment in an urgent care center" allows Plutus Health to bill for its Urgent cares clients for the evaluation and treatment of various medical conditions in an urgent care setting that is more expensive than a primary care setting. The S9088 code allows the Plutus Health Billing team to ensure our urgent care clients get reimbursed at least a portion of the increased cost of providing immediate care. Plutus Health's coding team will ensure that the S9088 code does not stand alone and is billed with an appropriate evaluation and management (E/M) code.
  • Plutus Health also has experience using CPT code – S9083 – that enables our urgent care clients to charge a global fee for service, regardless of what treatment the patient receives.

 

Plutus Health Inc. specializes in revenue cycle management services that match urgent treatment centers' financial and clinical documentation demands. You can trust us to incorporate best practices for your billing, coding, and collections right from the start.

Don't let revenue leaks drain your financial viability. Talk to us about custom urgent care billing solutions that will optimize your medical billing system and ensure that you are paid in time.

 

Schedule A Callback Now

// box (h6)

The Plutus Health Urgent care coding team are experts applying AMA guidelines in reviewing medical records to determine if the appropriate code is 99214 for an “office visit for the E&M of an established patient, which typically requires at least two of these three key components: a detailed history, a detailed examination and medical decision making of moderate complexity.”

Plutus health urgent care coders also review level of complexity to determine use of codes such as 99213 vs 99214 to ensure compliance and accurate reimbursement. Finally our coders also leverage codes such as 99204 for new patients of our urgent care clients as long criteria’s such as a comprehensive history, comprehensive exam, and medical decision-making of moderate complexity are met and thereby ensuring compliance and revenue.

Get Started

Please enter your details below and one of our team members will contact you shortly.


Website


Website
*We Value Your Privacy.
*We Value Your Privacy.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.

Get Started

Please enter your details below and one of our team members will contact you shortly.


Website


Website
*We Value Your Privacy.
*We Value Your Privacy.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.

Learn more from our Resources section:


Blogs :
Case Studies :

55,000

+

Claims

120,000

+

ABA Therapy Sessions

10,000

+

Kids Receiving Care

$

50

Million+

Insurance Revenue

Last 12 Months
Discover