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May Industry Notes: PLA Code Changes July 1, 2025

PLA codes, 0240U and 0241U, will be deleted by the AMA with an effective date of July 1, 2025. CPT...

Credentialing: The Gatekeeper of Healthcare Access and Reimbursement 

In the healthcare ecosystem, credentialing is more than a bureaucratic hurdle — it's the linchpin of successful revenue cycle management,...

Navigating Payer Reviews and Medical Decision-Making: A Critical Guide for Urgent Care Clinics 

Urgent care operators face increasing challenges from payer reviews, a situation exacerbated by ongoing confusion around coding guidelines and proper...

Unleashing Revenue Potential: A Guide to Credentialing and Billing in Urgent Care

In urgent care, effective credentialing and billing are not mere administrative tasks — they are pivotal components in driving revenue...

How to Avoid the Top 5 Mistakes in Contracting and Credentialing

Proper contracting and credentialing in urgent care is not easy, especially for clinics who don’t have an expert working with...

4 Habits to Start Today for Improved RCM in Urgent Care

Effective revenue cycle management (RCM) is the backbone of any successful urgent care operation. In our experience at Experity —...

Celebrating Excellence: 2024 Limelight Award Winners

The 2024 Limelight Awards recognize outstanding individuals in the urgent care industry who have demonstrated exceptional dedication, innovation, and impact....

Refresher: Guidelines for E/M Coding  

Hard to believe that the new E/M guidelines have been in place for urgent care for four years.  These guidelines...

Feb Industry Notes: Medicare Updated MBIs/Member IDs Causing Rejections 

According to a CMS press release, a security vulnerability in the MOVEit software used by Wisconsin Physicians Service Insurance Corporation (WPS)...

Building Your Urgent Care Playbook to Improve Patient-Centered Care

Despite the advancements in convenience and accessibility, patients are reporting extreme dissatisfaction with healthcare – not only around costs and...

How To Register a Medicare Beneficiary  

At the end of every year, Medicare beneficiaries pick the insurance they want for the next year at open enrollment....

How to Capitalize on X-rays Without Hiring Radiologists

X-rays are a defining feature of urgent care and a convenience that can help patients save a lot of time...

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