- Dedicated RCM for Clinics
- E/M & Procedure Coding
- Denial & AR Management
Streamlined Billing for Urgent Care Centers
In the urgent care setting — where patients may arrive any time, payers vary, and visit complexity changes rapidly — billing demands flexibility and precision. Valiant Lifecare handles your entire revenue cycle: front-desk intake, eligibility checks, accurate coding, claims submission, payment posting, denial follow-up, and AR reconciliation, letting your clinicians focus on patient care while we protect your revenue.
Our Urgent Care Billing & RCM Services
Front-Desk Intake & Eligibility Verification
Capture patient demographics, verify insurance coverage, check benefits and co-pay/coin-insurance before services to prevent denials at claim submission.
E/M & Procedure Coding (ICD-10 / CPT / HCPCS)
Accurate coding for evaluation & management visits, minor procedures, diagnostics, injections, wound care, casts/splints and other services common in urgent care.
Facility & Service-Fee Billing
Support for facility or location-based billing including place-of-service (POS) codes, facility fees or surcharges as required by payer contracts.
Claim Submission & Tracking
Submit clean claims correctly to private payers, Medicare/Medicaid, or self-pay — with full tracking, ERA/EDI handling, and payment posting.
Accounts Receivable & Denial Management
Active follow-up on unpaid or denied claims, root-cause analysis, corrections or appeals to recover revenue and minimize write-offs.
Clinical Documentation Review & Audit Support
Ensure documentation supports level of care billed (E/M complexity, procedures, after-hours surcharges) — reducing risk of denials and compliance issues.
Reporting & Analytics
Custom dashboards with metrics: claim cycle time, denial rates, payer mix, service mix, revenue per visit — helping urgent-care leadership monitor performance and growth.
Credentialing & Payer Enrollment Support
Handle provider and facility credentialing, payer enrollment/contracting and stay updated on payer rules — critical for clean claim submissions.
Scalable High-Volume Claim Handling
Our team and systems handle high visit volume and fluctuating patient flow, enabling urgent-care centers to scale without compromising billing quality.
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Our Urgent Care Billing Workflow
Our workflow is built for the speed and variability of urgent care. From arrival to claim payment — every step is optimized for accuracy, compliance and speed, minimizing revenue leakage and administrative overhead.
Patient Intake & Eligibility Check
Capture demographics and verify insurance/benefits before or at visit start.
Procedure & Modality Capture
Document E/M services, procedures, diagnostics, supplies, facility charges, surcharges or after-hours fees.
Coding & Charge Entry
Assign accurate ICD-10/CPT/HCPCS codes, apply modifiers (when needed), and assign correct place-of-service (POS) or facility codes.
Claim Submission
Submit clean claims, track through adjudication, reconcile ERA/EOB data.
Payment Posting & Reconciliation
Post remittances, co-pays, adjustments, patient balances, and manage receivables.
Denial Triage & Appeals
Identify cause of denials (coding, POS error, documentation, payer edits), correct and resubmit or appeal.
Revenue Analytics & Reporting
Monitor aging, follow up with payers and patients — minimize outstanding balances.
Continuous Quality & Compliance Audit
Provide revenue analytics, identify denial trends or payer issues, recommend workflow improvements.
Speak With an Expert
Improve Your Operational Outcomes. Connect with us today for a no-charge in-depth Consultation before we begin optimizing your operations.
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