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Your source for Urgent Care medical billing advice and news to maximize efficiency and practice revenue.
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Urgent Care Excellence

Keep Up With UCAOA Guidelines

Learn about staying current with UCAOA guidelines for top-notch urgent care. These standards cover patient care, staffing, and facility management. Keeping up ensures safe and efficient services that meet regulatory requirements.
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Urgent Care Coding Basics

Common Urgent Care Billing Codes

ICD-10 Codes

R51
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2023 Usage:
100K to 300K claims submitted

2023 Lost Revenue:
$500K to $1M lost due to denied claims

Common Error:
Use for Generalized Headaches

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M79.603
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2023 Usage:
150K to 250K claims submitted

2023 Lost Revenue:
$1.5M to $2M lost due to denied claims

Common Error:
Application When Specific Arm is Known

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S93.499A
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2023 Usage:
50K to 100K claims submitted

2023 Lost Revenue:
$1.5M to $2M lost due to denied claims

Common Error:
Application When Specific Arm is Known

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E86.0
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2023 Usage:
100K to 200K claims submitted

2023 Lost Revenue:
$400K to $600K lost due to denied claims

Common Error:
Use for Minor Fluid Loss

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CPT Codes

99281
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2023 Usage:
100K to 200K claims submitted

2023 Lost Revenue:
$300K to $600K lost due to denied claims

Common Error:
Using for More Complex ED Visits

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99291
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2023 Usage:
30K to 75K claims submitted

2023 Lost Revenue:
$80K to $200K lost due to denied claims

Common Error:
Inaccurate Time Reporting

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A0427
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2023 Usage:
10K to 20K claims submitted

2023 Lost Revenue:
$30K to $100K lost due to denied claims

Common Error:
Using for Non-Emergency Transports

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Latest Posts
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CPT Code

CPT Code A0427: Overview

Code: A0427Description: Ambulance service, advanced life support, emergency transport, level 1 (ALS 1 – emergency)Context: This Healthcare

February 6, 2024 No Comments
cpt-code-99291-overview
CPT Code

CPT Code 99291: Overview

Code: 99291Description: Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74

February 6, 2024 No Comments
cpt-code-99281-overview
CPT Code

CPT Code 99281: Overview

Code: 99281Description: Emergency department visit for the evaluation and management of a patient, which requires a problem-focused

February 6, 2024 No Comments
icd-10-code-e860-overview
ICD-10 Code

ICD-10 Code E86.0: Overview

Code: E86.0Description: DehydrationContext: This code is used for cases where a patient is diagnosed with dehydration, a

February 6, 2024 No Comments
icd-10-code-s93499a-overview
ICD-10 Code

ICD-10 Code S93.499A: Overview

Code: S93.499ADescription: Sprain of other ligament of unspecified ankle, initial encounterContext: This code is used for cases

February 6, 2024 No Comments
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