Urgent care runs on throughput. You see a hundred patients where a specialty practice sees twenty, which means a coding pattern that is slightly wrong is not slightly expensive. It is wrong a hundred times a day.

Add payers that each want something different for the same visit type and the administrative load becomes the constraint on the business.

Some payers want S9083 as a global urgent care code. Others want S9088 alongside the E and M. Others want neither and will deny both. Getting this right is payer by payer contract work, not a rule you can apply once.

Urgent care providers document fast, and leveling suffers. The work supports a higher level more often than the note does, which is a documentation problem with a direct revenue cost.

Laceration repair, splinting, foreign body removal, and incision and drainage are separately billable with modifier 25 on the E and M. These get bundled away routinely.

Employer contracts, workers compensation, and drug screening all bill differently than standard insurance and each carries its own paperwork. Mixing them into a general workflow is how they get dropped.

• Charge entry and coding review against your documentation
• Claim submission and clearinghouse rejection management
• Denial classification by reason, source, and cause with actionable feedback to your team
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• Monthly financial reporting so you can see what is actually happening

You keep your EHR and your workflow. We integrate with PrognoCIS, athenahealth, AdvancedMD, gGastro, Sevocity, eClinicalWorks, and Open Practice, among others.

Dr. Joe Jacob of Buena Vista Urgent Care moved his billing to Medicus in 2017. His assessment: available at all times to discuss a problem, and collections dramatically improved.

He recommends us to anyone. That is a direct quote from a physician who has watched the numbers for years.

Cyndi Walker founded Medicus after decades inside medical billing, and holds Certified Medical Coder and Certified Healthcare Business Consultant credentials. Medicus carries corporate accreditation from HBMA and the National Society of Certified Healthcare Business Consultants.

We are not a call center and we do not route your account offshore. You get people who know your specialty and answer the phone.

It depends entirely on the payer contract. Some want S9083 as a global fee, some want S9088 in addition to the E and M, and some accept neither. This has to be maintained payer by payer, and it changes.

Yes, when the evaluation and management service is significant and separately identifiable from the procedure, using modifier 25. Laceration repairs and abscess drainage almost always qualify and routinely get bundled away.

Yes. Occupational medicine, employer contracts, and workers compensation each bill differently and carry their own documentation. Practices that fold them into standard workflow tend to drop them.

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Schedule a billing review and we will tell you where the revenue is going.