Your Guide to Continuous Improvement in Urgent Care Billing & RCM

CLAIMs & collections | coding | c&C | analytics | in-house vs 3rd party

Ensure a Clean Bill of Health for Your Urgent Care RCM

Revenue cycle management in urgent care is complex — but it doesn’t have to be chaotic. Whether you’re struggling with delayed payments, frequent denials, or credentialing bottlenecks, this page is designed to help you take control. Explore expert-backed strategies, practical tools, and real-world insights to improve accuracy, speed up reimbursements, and optimize your clinic’s financial health.

Here’s What’s in Your Success Kit

Get Paid Faster With Cleaner Claims and Smarter Collections

Streamline front desk workflows and follow-up processes to reduce denials and speed up payments.

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Protect Revenue With Smarter Coding

Stay ahead of coding changes to ensure accurate claims, avoid rejections, and get paid what you’re owed.

Simplify Credentialing and Contracting to Stay Compliant

Avoid costly delays with tools and tips to keep provider credentials and payer contracts up to date.

Work Smarter Not Harder With the Right Analysis

Use the right metrics and reporting habits to uncover inefficiencies and optimize revenue cycle performance.

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Compare In-house Billing Benefits vs Third Party

Understand the pros and cons of each model so you can choose the right billing solution for your clinic.

Featured Service Recommendation

Explore Experity’s optimized RCM services—designed to reduce denials, speed up reimbursements, and simplify your path to payment.

Get Paid Faster With Cleaner Claims and Smarter Collections

Getting paid promptly starts at the front desk, but it doesn’t end there. From patient intake to collections follow-up, the right workflows and technology can dramatically reduce denials and boost collections.

This section brings together tools, checklists, and expert insights to help you:

Improve claim accuracy from the start
Train and empower your team
Leverage tech to prevent revenue leakage
Build a consistent collections process

Start with this quick clip to see where most clinics go wrong — and how to fix it. Watch the full webinar by clicking below.

Watch Minimizing Denials & Rejections in Urgent Care

Front Desk Checklist PDF for Better Urgent Care Billing

Get your front desk team aligned with this free, ready-to-use checklist designed to catch billing errors before they happen. It’s a quick download that can make a big impact on your bottom line.

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Seven Tips to Prevent Patient Accounts from Falling into Collections

If you have a capable staff and an effective process, collecting patient payments is just part of how you operate. Read these 7 tips on how to get there.

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The 7 Worst Urgent Care Billing Mistakes That Could Cost You

Some billing mistakes are inconvenient — others are downright expensive. Discover the most common (and costly) errors urgent care clinics make and how to avoid them before they hurt your bottom line.

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The Challenges of Billing Out of Network

Out-of-network billing can mean delayed payments, frustrated patients, and lost revenue. Get expert insights into how to navigate these challenges — and what you can do to minimize the financial impact on your urgent care center.

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Medical Billing Best Practices for Optimal Revenue in Urgent Care

Tired of working hard and seeing underwhelming reimbursements? Follow these urgent care-specific billing best practices to optimize your revenue and streamline operations at every step of the cycle.

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Front Desk Best Practices for Accurate Billing in Urgent Care

Your front desk sets the tone — not just for patient experience, but for clean claims and faster payments. Learn the best practices that turn your front desk into a billing powerhouse and stop revenue leakage before it starts.

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Practice Management Software Best Practices

Your PM software should do more than schedule appointments — it should help you run a smarter business. Explore tips for getting the most out of your system, from billing workflows to patient experience.

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Protect Revenue With Smarter Coding

Correct coding is critical — not just for compliance, but for getting paid what you’re owed. With constant changes in guidelines and reimbursement models, staying ahead takes more than an annual update. These resources are here to help you stay current with evolving E/M guidelines, standardize coding practices across your team, educate providers to avoid undercoding or overcoding, and prevent costly delays and denials tied to documentation issues.

Optimize Payment for Your Clinic’s Work: Cracking the Code 2025

Watch this clip for practical tips on how to manage coding changes like a pro, or watch the entire webinar by clicking below.

Watch the full Webinar

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The Balance Sheet: Informing Your RCM Decisions

Experity’s resident coding expert, Phyllis Dobberstein, routinely posts updates, tips, and other help around coding and RCM topics to help you stay on top of changes and be more strategic in business decisions. Add the link to your favorites to peruse the collection and stay on top of new posts.

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Coding Resources Hub

Stay ahead of the curve with tools that help you navigate coding updates, improve documentation, and maximize reimbursement. These resources are designed to help urgent cares code confidently — and get paid accordingly. Save this page for a more coding-specific library of resources.

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Simplify Credentialing and Contracting to Stay Compliant

It doesn’t matter how clean your claims are — if you’re not credentialed or contracted correctly, you won’t get paid. Mistakes in this area can delay reimbursement for months and cost you thousands in lost revenue. This section helps you understand and avoid these mistakes, streamline payer enrollment and recredentialing, and provides tools and tips to stay compliant and efficient.

Kick things off with this expert-led clip to learn what urgent cares need to get right from day one. You can watch the entire webinar, Unleash Your Revenue Potential: Expert Strategies for Billing and Credentialing, by clicking below

Watch the Webinar

Understanding and Managing Payer Contracts in Urgent Care

Payer contracts can be complex — but mismanaging them can cost you. This guide helps you decode contract terms and manage them strategically for better reimbursement and fewer surprises.

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How to Bill for Non-Credentialed and Non-Contracted Providers

Not all providers are credentialed on day one — but you still need to keep revenue flowing. Learn how to handle billing for non-credentialed and non-contracted providers without compromising compliance or cash flow.

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

Billing success starts long before you submit a claim — and credentialing is where it begins. This guide breaks down how to align contracting, credentialing, and billing workflows so you can reduce delays, avoid denials, and capture every dollar you’ve earned.

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Navigating the Complexities of Contracting and Credentialing in Urgent Care

Contracting and credentialing can feel like a maze — but there’s a clear path forward. Explore expert tips to streamline these processes, avoid costly missteps, and get paid sooner.

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4 Habits to Start Today for Improved RCM in Urgent Care

Stronger revenue starts with better habits. Discover four simple, high-impact practices that can improve collections, reduce denials, and bring more consistency to your urgent care’s RCM workflow.

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How to Avoid the Top 5 Mistakes in Contracting and Credentialing

A single misstep in contracting or credentialing can delay payments by weeks — or even months. Learn the five most common pitfalls urgent cares face and how to avoid them to keep revenue flowing and your providers seeing patients on day one.

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How Should I Credential Primary Care vs. Urgent Care?

Credentialing isn’t one-size-fits-all. Learn the key differences in how you should credential providers for primary care vs. urgent care — and why getting it right matters for compliance and cash flow.

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The Quandary of Opening an Urgent Care Without Contracts

Launching without payer contracts might sound faster — but it could be far more costly. Understand the risks and what you need to know before opening your doors without contracts in place.

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Work Smarter Not Harder

You can’t manage what you don’t measure, and in RCM, there are a lot of factors that contribute to your bottom line. This section gives you foundational metrics and reporting habits to help you make continual improvements across the revenue cycle all year long. Start by directly downloading our PDF that explains how to calculate 10 essential KPIs that help you monitor performance, catch revenue leaks, and drive smarter decisions.

Metrics that Matter PDF

Quick Guide to Solving Revenue Issues

Sometimes things like visit volume is out of our control. And when you depend on volume for revenue, it’s important to do everything you can to get what you’re owed — especially when visits are low. This guide can help you make better decisions faster around five major challenges that contribute to lower revenue — and steps you can take to resolve each.

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KPIs to Measure in Your Urgent Care

This clip gives you a taste of our webinar that dives more deeply into the metrics you should be tracking and how. The full webinar also covers:

Visits Per Clinic Per Day and how to benchmark after a year of record-breaking visit volumes
Average Revenue Per Visit and how COVID testing and vaccine visits affect this metric
Percent of Patients In/Out in <45 Minutes and how technology like a virtual line, contactless registration, and connected clinic solutions affect throughput averages and NPS scores
Plus! Hear about other metrics that matter and ideas for how to boost team culture by getting your team involved in the goal setting and strategy

Stream the Webinar (no form fill)

How to Create a Culture of Data Literacy in Urgent Care — And Why

Turning data into action starts with building a team that understands how to use it. This blog explores how urgent care leaders can foster a culture of data literacy to drive smarter decisions, better performance, and stronger financial outcomes.

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Performance Metrics for Urgent Care

Break down metrics even further by looking at how your income statements tie into your operational and non-financial metrics, along with billing and collections metrics to create a trend analysis to help you take action.

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Compare In-house Billing Benefits vs Third Party

Smaller urgent care businesses often feel most comfortable managing their own billing and credentialing for a number of reasons, including cost and a perception of giving up control. But at what point do the scales tip and it becomes more financially beneficial to work with a billing partner? These resources can help determine your needs.

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Self Evaluation RCM Scorecard

Billing mistakes cost you more than money — they cost you time, patients, and peace of mind. Before you decide whether you need outside help, see how you rank against best practices that high-performing urgent cares use to get paid faster, reduce denials, and stay compliant.

Take the Self Eval

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In-house vs. Outsourced Urgent Care Billing (eBook)

Is your billing model holding you back? This eBook breaks down the pros and cons of in-house vs. outsourced billing so you can choose the right fit for your clinic’s goals and growth.

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25 Questions When Hiring a Billing Team

Choosing the right billing partner can make or break your urgent care’s financial success. As the industry grows and regulations evolve, this resource helps you navigate the complexity with a list of must-ask questions to guide your search. Learn what to look for, why specialization matters, and how Experity’s urgent care–focused solutions can support your goals.

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Recommended service:

Experity Revenue Cycle Management

Ready to eliminate billing headaches, improve cash flow, and stop revenue leaks in your urgent care practice? Experity’s newly optimized RCM services deliver proven results —with 50% faster payer enrollment, 3X quicker provider credentialing, and claim submissions within 24-48 hours. Powered by advanced AI tools, our proactive approach quickly identifies billing issues, reduces rejections, and ensures efficient adjudication of every claim.

Backed by real-time analytics, our dedicated Customer Success Managers and specialized teams handle charge entry, denial management, contracting, credentialing, and patient services to consistently exceed industry standards.

Don’t let revenue inefficiencies hold you back.

Optimize Your RCM Today