🚑 Urgent Care Specialty

Urgent Care Billing Services Built for High-Volume Walk-In Practices

MedCare Billing Solutions provides specialized urgent care medical billing for urgent care centers, walk-in clinics, and occupational health practices. We process high volumes of acute care claims with speed and accuracy — maximizing reimbursements for everything from laceration repairs to X-ray interpretations.

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97.9%

Urgent care clean claim rate

16 days

Average days in AR — fastest in primary care

K+

Average additional annual revenue per urgent care location

Why It Matters

Urgent Care Billing Is High-Volume and Fast-Paced — Errors Are Costly at Scale

Urgent care centers see 50–150+ patients per day. Billing errors that cost – per claim add up to hundreds of thousands annually. Common issues include:

✓Using office visit codes (99213) instead of urgent care-appropriate E/M codes with correct place of service (POS 20)
✓Not billing for procedures performed during urgent visits — laceration repair, splinting, I&D
✓Missing X-ray and imaging interpretation billing when performed in-office
✓Incorrect coding of occupational health visits vs. standard urgent care visits
✓Not billing for urinalysis, rapid strep, flu tests, and other in-house labs
✓Missing facility fee billing opportunities when applicable

Fix My Billing

⚠️ The Place of Service Problem

Billing with the wrong Place of Service code (POS 11 vs POS 20) is one of the most common urgent care billing errors — and payers reimburse at different rates for each. POS 20 (Urgent Care) typically reimburses 10–25% higher than POS 11 (Office) for the same codes.

Wrong POS code = automatic underpayment on every single claim
In-house lab and imaging not billed separately
Procedure codes (splinting, laceration repair, I&D) omitted from claim
Occupational health visits billed under wrong taxonomy code

Expertise

Key CPT Codes We Bill Daily

CPT Code	Procedure	Common Issue
99213–99215	Urgent care E/M visits (POS 20)	Wrong place of service code; undercoding complexity level
12001–12021	Laceration repair — simple	Size and complexity undercoded; add-on codes for complex repairs missed
29105–29131	Splint application — upper and lower extremity	Not billed or billed without associated E/M visit
71046	Chest X-ray, 2 views	Interpretation not billed separately when physician reads in-house
10060–10061	Incision and drainage of abscess	Complexity level (simple vs. complex) miscoded
87804	Rapid influenza diagnostic test	In-house lab billing missed; only CPT used when HCPCS needed for some payers
93000	EKG interpretation	Not billed separately when performed and interpreted during urgent visit

What We Do

Full-Service Urgent Care RCM

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High-Volume Claim Processing

Same-day charge capture and 24-hour claim submission for urgent care volume — 50–150+ claims per day with zero backlog.

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Correct POS Coding

We ensure every claim uses the correct Place of Service (POS 20) to maximize reimbursement rates vs. standard office rates.

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In-House Lab & Imaging

Complete billing for in-house point-of-care testing, rapid tests, X-ray interpretation, and EKG readings.

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Procedure Billing

Laceration repairs, I&D, splinting, and minor procedures billed with correct CPT codes and all add-ons captured.

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Occupational Health

Separate billing workflows for workers comp, employer-directed care, and DOT physicals — different rules than standard urgent care.

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Denial Appeals

Rapid turnaround on urgent care denials. Most urgent care denials are administrative — we resolve them quickly to protect cash flow.