What We Offer in Urgent Care Billing
Our service covers the complete billing process from start to finish. We work closely with your team to make sure every detail is correct before a claim is sent to the insurance payer.
Our Main Services
- Patient registration and insurance eligibility verification
- Correct use of CPT codes and modifiers
- Linking of E M codes and ICD 10 diagnosis
- Claim review and electronic submission
- Payment posting and ERA reconciliation
- Denial management and appeals
- Monthly performance reporting
Our experts are trained to handle high patient volumes while maintaining precision in every claim.
Step by Step Billing Process
- Eligibility and Verification
Before each visit, we verify insurance coverage and confirm copay details to avoid problems later.
- Accurate Coding
Our certified coders use the right E M codes, CPT codes, and diagnosis codes to make sure each claim meets payer requirements.
- Clean Claim Submission
We review every claim thoroughly to remove errors before it reaches the insurance company.
- Payment Posting
Using Electronic Remittance Advice (ERA), we post payments correctly and keep your records transparent.
- Denial Management
Any denied claim is analyzed, corrected, and resubmitted quickly to recover revenue.
- Monthly Reporting
We share detailed performance reports so you can see trends in claims, payments, and rejections.
Our goal is to help you maintain a high clean claim rate and steady cash flow.
Common CPT Codes in Urgent Care Billing
CPT codes define the medical services you provide. Using the right ones ensures accurate reimbursement.
| CPT Code | Description | Use in Billing |
|---|
| 99202 |
Office or outpatient visit for a new patient |
For short, low complexity visits |
| 99215 |
Office or outpatient visit for established patient |
For longer or more complex visits |
| 99050 |
Service provided after regular hours |
Used for evening or weekend visits |
| 99051 |
Service during regular hours, but unscheduled |
Used for walk-in or same-day care |
Every code is applied based on time, complexity, and patient type, following payer documentation rules.
Understanding E M Coding
E M coding, or Evaluation and Management coding, is the heart of urgent care billing. It determines how much the insurance company will reimburse based on the type and complexity of care provided.
Our team ensures:
- The correct visit level from 99202 to 99215
- Documentation matches the time and medical decision making
- Proper linkage between diagnosis and treatment codes
We help you avoid both under coding and over coding while keeping your claims compliant.
ICD 10 Codes for Urgent Care Visits
Diagnosis codes prove medical necessity. These are some of the most common ICD 10 codes used in urgent care billing.
| ICD 10 Code | Description |
|---|
| J06 9 | Acute upper respiratory infection |
| M54 5 | Low back pain |
| R10 9 | Abdominal pain not specified |
These codes are often used for everyday urgent care cases such as cold, flu, back pain, or abdominal discomfort.
More About Key CPT Codes
99202
Used for a new patient visit that requires low medical decision making and takes about 20 minutes.
99215
Used for established patients who need extended evaluation and complex care that requires about 40 minutes or more.
99050
Used when care is provided after standard business hours such as at night or during weekends.
99051
Used when patients walk in during normal hours without an appointment but still receive care.
87635
Used for COVID 19 testing through amplified probe technique, which became common after the pandemic.
Each code requires correct documentation and linking to the proper ICD 10 code to ensure payment.
Denial Management for Urgent Care Clinics
Denied claims can slow down your revenue cycle. Our team tracks every denial, finds the reason, fixes it, and resubmits it promptly.
We also track denial trends by insurance company and help your staff prevent future errors through education and feedback.
Why Denials Happen
- Incorrect or missing codes
- Eligibility errors
- Lack of documentation
- Use of wrong modifiers
With our denial management in medical billing system, most issues are solved before they even reach the payer.
POS 20 in Urgent Care Billing
POS 20 stands for “Place of Service” code for urgent care centers. It is used when a clinic provides outpatient services that do not require hospital admission.
Using POS 20 correctly ensures that urgent care claims are paid under the right fee schedule.
HIPAA Compliant Billing
Patient privacy is a serious responsibility. All systems at AccuBill Solutions LLC follow HIPAA guidelines to protect patient health information.
We use secure encrypted servers and role based access to ensure complete data safety.
Your trust is our top priority, and your data stays protected at every step.
How We Improve Urgent Care Revenue Cycle Management
Our urgent care billing services are not just about claim submission — they are about optimizing your full revenue cycle.
Key Advantages
- Fast and accurate claims
- Automated claim scrubbing
- Clean claim rate above 98 percent
- Transparent financial reports
- Seamless integration with EHR systems
- Dedicated billing specialists for urgent care
Whether you run a single center or a multi location network, we help you maintain stability and profitability.
Why Choose AccuBill Solutions LLC
- Experts in urgent care billing services across the USA
- Deep understanding of E M coding and CPT requirements
- HIPAA compliant systems for complete data protection
- Proven record in denial management and revenue optimization
- Transparent pricing and reliable communication
- Based in Florida and serving nationwide
We are more than a billing company — we are a long term partner in your financial success.
Frequently Asked Questions
1. What are urgent care billing services?
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They cover everything from insurance verification and claim submission to payment posting and denial management.
2. Which CPT codes are common in urgent care billing?
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Codes such as 99202, 99215, 99050, 99051, and 87635 are widely used.
3. What is POS 20 in medical billing?
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It is the location code for urgent care centers that are not part of a hospital.
4. What does E M coding mean?
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It refers to Evaluation and Management coding used to describe the complexity of a visit.
5. What are common ICD 10 codes in urgent care?
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J06 9 for respiratory infection, M54 5 for back pain, and R10 9 for abdominal pain.
6. How does denial management work?
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Our team finds the issue behind each denied claim, corrects it, and resubmits it quickly.
7. Is AccuBill Solutions LLC HIPAA compliant?
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Yes. All systems and staff follow HIPAA security and privacy standards.
8. Do you integrate with EHR systems?
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Yes. We work with most leading EHR systems for smooth data transfer and faster claims.
Conclusion
Running an urgent care center means managing fast patient flow and high service demand. Billing errors can slow down payments and affect your cash flow.
At AccuBill Solutions LLC, our Urgent Care Billing Services handle every part of the process — from accurate coding to timely reimbursements. We make sure your claims are correct, compliant, and paid without delay.
Let us take care of your billing so you can stay focused on caring for your patients.
👉 Contact AccuBill Solutions LLC today to learn how we can help your clinic grow across Miami and the entire USA.
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