Serving the needs of health care providers and centers, New England Medical Billing (NEMB) helps ensure accurate, timely cost reporting of ambulance services. One critical aspect of New England Medical Billing’s service is meeting the complex challenges faced by urgent-care centers.
Freestanding centers have come to prominence in recent years with a shift in health systems toward outpatient care. Unlike freestanding, or hospital-based, emergency departments, they serve as walk-in clinics outside of traditional emergency departments.
Required to comply with multifaceted coding and billing guidelines, freestanding urgent-care centers do not possess the unique set of CPT (current procedural terminology) codes that freestanding emergency rooms do. Instead, they must be aware of the specific office visit E/M (evaluation and management) codes they are able to employ when billing for services.
In addition, each payer can have separate contracting requirements that make provider credentialing and enrollment complex. These span copayments, deductibles, and patient referrals, and only grow in complexity each year, as payers create new and diversified consumer-focused products.
The role of companies such as NEMB is to assist providers and centers in staying on top of coding and regulatory challenges. The firm has a core commitment to ensuring that front-end staff can easily integrate billing functions within daily routines.
