Sneak Peek – Issue 04: What’s the Average Reimbursement for Urgent Care Visits?

How does your average revenue per visit stack up against other urgent cares? Watch this DocuTAP DataBrief to find out.

Reimbursement per visit is an important indicator of your urgent care clinic’s performance. But many factors play a part in reimbursement per visit—and your success. At each stage of the patient journey, there are processes and procedures that can be fine-tuned to improve reimbursement for patient visits.

The following are some of the most important factors to monitor and improve:

• Front desk efficiency – Is patient registration accurate and complete? Is staff collecting copays and balances during check-in?
• Real-time insurance verification – Is insurance coverage verified during check-in? Is patient responsibility confirmed and collected?
• Accurate coding – Is your staff using the right CPT codes and modifiers to prevent claim rejection and denial? Are you using appropriate E/M codes so you don’t leave money you’ve earned on the table?
• Payer contracts – Have you negotiated fair contracts with payers? Do you check them regularly and renegotiate as your business changes?
• Effective collection processes – Is your billing team using technology to speed up the claims process? Does your technology ensure claims are clean and accurate before they go out the door?

Viewed through a wide lens that takes visit volume and these and other variables into account, this metric helps urgent cares assess their overall performance and opportunities for growth.

For more urgent care-specific data, subscribe to the Urgent Care Quarterly.