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Billing Integrity in Urgent Care: How to Manage Risk 

The financial and reputational health of an urgent care practice depends on one simple principle: bill accurately and compliantly. Yet...

Medicare Administrative Contractors Status During the Shutdown 

In anticipation of possible Congressional action, CMS has instructed all Medicare Administrative Contractors (MACs) to continue to temporarily hold claims...

Mail Forwarding to End for PO Boxes Formerly Located in Missouri 

To all providers:  On May 14, 2025, four PO boxes changed from the processing center in St. Louis, MO, to...

October Industry Notes – Medicare 

NCCI Alert: COVID-19 Vaccine Administration Edit Revision  Some providers may have 90480 claims denied when billed in conjunction with G0008,...

Update on Medicare Operations: Telehealth, Claims Processing, and Medicare Administrative Contractors Status During the Shutdown 

In the absence of a federal budget bill or continuing resolution, the government shut down on October 1, 2025, many...

How AI at the Front Desk Restores Human Connection 

Imagine a patient calling your urgent care clinic — and no one answers. Unfortunately, this isn’t rare. Nearly half of...

September Industry Notes: Upcoming Code Change From the Medicare Bulletin:

For combination tests that are read visually, CPT code 87812 QW will be effective January 1, 2026. Until then, laboratories may bill CPT...

More Coding Advice from Experity RCM Team: Multiple Codes Same Body Area

Something that we see frequently is multiple diagnosis codes related to the same body area being selected and billed on...

The Hidden Cost of Missed Calls in Urgent Care — and How to Fix It

In urgent care, every call matters. Yet many clinics lose patients and revenue every day because calls go unanswered. Research...

Mastering Urgent Care Revenue Cycle Management (RCM) to Maximize Collections

Revenue cycle management (RCM) may not be the most glamorous part of urgent care, but it is one of the...

Coding Advice from Experity RCM Team

We are finding that payers are wanting the symptom code of why they performed the lab, not a definitive diagnosis...

Seasonal Flu Vaccines 2025-2026

Vaccinations are usually billed with two CPT® codes: one for the vaccine and one for the administration of the vaccine....