Eligibility is a three-minute problem with a thirty-day consequence
An urgent care visit starts with a card and a hope. If the plan is inactive, the product is wrong, or the visit should have been a workers' compensation claim, the error is invisible until the denial arrives.
Real-time eligibility checks at registration catch most of it. The rest comes from a short daily review of registration quality, which staff, which errors, which payers, rather than a lecture about accuracy.
- Real-time eligibility and benefit verification at check-in
- Workers' compensation and auto injury identification
- Point-of-service collections for co-pays and unmet deductibles
- Fast claim turnaround so denials still have time to be fixed
Coding for variety
Urgent care sees lacerations, sprains, strep tests, and chest pain in the same afternoon. Procedure coding, supplies, and evaluation and management levels need to hold up across that range without slowing the encounter down.
We review coding patterns by provider and by service line, which usually surfaces a couple of fixable issues rather than a systemic one.