Urgent Care Blog

Humana Claims Payment Policy Subject: Laboratory – Diagnostic Testing of Influenza    Medicare Advantage Payment Policy As a Medicare Advantage plan,...

Humana Claims Payment Policy   Subject: Z-Code Billing for Molecular Diagnostic Testing    Medicare Advantage Plan Palmetto Region  The Molecular Diagnostic Services...

Ashley Fernando, RCM Operations Manager, Experity What is TRICARE? TRICARE is the health care program for uniformed service members, retirees,...

Delilah Greve, Lead Systems Integrity Specialist, Experity Real-Time Eligibility (RTE) in Experity, powered by Waystar, allows practices to instantly verify...

Laura Gilsdorf, Director RCM Operations, Experity Setting up accurate fee schedules is crucial for healthcare providers and their patients. Fee...

Jen Johnson, RCM Operations Manager Senior, Experity Front desk employees play a crucial role in ensuring a smooth registration process...

Elyce Braun, RCM Operations Manager, Experity At Experity, we know that efficient payment posting is key to maintaining a healthy...

The AMA recently made changes to CPT codes effective March 31, 2025.  The following may affect urgent care centers.  Code...

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

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

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

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