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Recharge Your Providers: Strategies to Educate and Energize

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Recharge Your Providers: Strategies to Educate and Energize
Gateway Urgent Care, Mercy Urgent Care

Gateway Urgent Care, Mercy Urgent Care

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Get Discovered by More Patients Searching for Urgent Care

Get Discovered by More Patients Searching for Urgent Care

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Urgent Care as a Growth Engine: How Health Systems Can Unlock Revenue with the Right Tools

Urgent Care as a Growth Engine: How Health Systems Can Unlock Revenue with the Right Tools

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ICD 10 changes impacting Urgent Care in 2025 

ICD 10 changes impacting Urgent Care in 2025 

ICD10 has been ever changing since it was first adopted ten years ago. Each year the Centers for Medicare &...
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August Industry Notes: Medicaid, Worker’s Comp, and Payer Updates

August Industry Notes: Medicaid, Worker’s Comp, and Payer Updates

Kentucky Medicaid Announcement  On July 29, 2025, the Cabinet for Health and Family Services was notified of a technical issue...
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July Industry Notes: Cigna Reimbursement Policy 

July Industry Notes: Cigna Reimbursement Policy 

Notification: Effective 10/01/2025 Cigna has developed a new reimbursement policy, Cigna may adjust the E/M CPT® code 99204- 99205, 99214-99215,...
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June Industry Notes: Aetna Quick Payment With Coordination of Benefits 

June Industry Notes: Aetna Quick Payment With Coordination of Benefits 

Aetna Quick Payment With Coordination of Benefits  Coordination of benefits (COB) is a process that identifies which health plan is...
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Humana Diagnostic Testing of Influenza

Humana Diagnostic Testing of Influenza

Humana Claims Payment Policy Subject: Laboratory – Diagnostic Testing of Influenza    Medicare Advantage Payment Policy As a Medicare Advantage plan,...
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Humana Z-Code Billing for Molecular Diagnostic Testing

Humana Z-Code Billing for Molecular Diagnostic Testing

Humana Claims Payment Policy   Subject: Z-Code Billing for Molecular Diagnostic Testing    Medicare Advantage Plan Palmetto Region  The Molecular Diagnostic Services...
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Important Update: Changes to TRICARE East Region Claims Processing 

Important Update: Changes to TRICARE East Region Claims Processing 

Ashley Fernando, RCM Operations Manager, Experity What is TRICARE? TRICARE is the health care program for uniformed service members, retirees,...
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May Industry Notes: CPT Code Changes

May Industry Notes: CPT Code Changes

The AMA recently made changes to CPT codes effective March 31, 2025.  The following may affect urgent care centers.  Code...
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Refresher: Guidelines for E/M Coding  

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

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)...
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How To Register a Medicare Beneficiary  

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....
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Importance of Registration 

Importance of Registration 

RCM Operations Lead: Katelynn Groenewold First look When a customer walks into an urgent care, one of the first things...
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