BLOG • Feb 19, 2025
Unlocking Revenue Potential: Why CARC Codes Are Essential for Denial Management
RCM Medical coding
🟢 Urgent Care RCM
Revitalizing Urgent Care Revenue Cycle Management with ASP-RCM Solutions
Achieve Financial Stability and Operational Excellence in a Post-COVID Urgent Care Landscape
Schedule a Call≤24 Hours
DOS to Claim Release
~33 Days
In A/R
95%
POS Collection Rate
Overview
Post-COVID Transformation in Urgent Care: Redefining Revenue Cycle Management
ASP-RCM Solutions addresses post-COVID challenges in urgent care centers by implementing customized strategies for financial stability and operational efficiency, including streamlined credentialing and advanced patient flow management
Addressing Credentialing & Contracting Delays
ASP-RCM uses digital workflows and specialized expertise to expedite provider enrollment, reduce wait times, and establish a steady revenue stream for urgent care centers
Adapting to New Patient Management Challenges
ASP-RCM optimizes patient flow, reduces wait times, and maintains patient satisfaction by utilizing real-time eligibility verification and prior authorization tools in centers with evolving patient behaviors
Why Choose ASP-RCM?
ASP-RCM's revenue cycle management suite, including billing, coding, claims submission automation, and data analytics, caters to urgent care needs, allowing providers to focus on patient care
Ensuring Operational Efficiency & Scalability
Our approach utilizes advanced RCM software, streamlined workflows, EHR integration, HL7 data exchange, and KPI dashboards to optimize revenue cycles, enhance patient satisfaction, and scale with urgent care growth
Key Benefits of Partnering with ASP-RCM
Our simplified revenue loss process helps identify credentialing issues, enhances payer negotiation skills, and supports the expansion of urgent care networks with flexible solutions.
Operations
Accelerating Urgent Care RCM Through Targeted Operational Steps
ASP-RCM’s end-to-end operational framework covers every aspect of urgent care revenue cycle management—from pre-visit eligibility checks to final payment reconciliation—using robust automation, compliance-focused processes, and data-driven insights
Credentialing & Enrollment Management
We expedite provider onboarding by proactively managing CAQH profiles, monitoring NPPES listings, and collaborating with payers for quick network inclusion. This reduces revenue delays and ensures new or expanding urgent care practices can serve patients without unnecessary holdups
Accurate Billing & Coding
Our certified coders use specialty-specific CPT, ICD-10, and HCPCS guidelines to minimize coding errors, while automated scrubbers catch discrepancies before claim submission. This precision leads to fewer claim denials and faster reimbursements
Real-Time Eligibility & Prior Authorization
By integrating API-based tools and payer portals, we confirm patient coverage and secure prior authorizations in real time. This proactive approach prevents coverage surprises, reduces wait times, and ensures seamless patient experiences
Claims Submission & Remittance Management
We handle electronic claims submission through secure clearinghouses, track remittance advice (ERA), and reconcile payments to ensure full reimbursement. Automated processes and electronic fund transfer (EFT) setups expedite revenue flow, while robust payment posting ensures accurate accounting
Analytics & Reporting
ASP-RCM deploys KPI dashboards and customizable reports that provide insights into claim status, reimbursement trends, and revenue forecasts. These analytics help urgent care centers identify improvement areas, detect potential fraud, and make data-driven decisions to enhance profitability
Ongoing Support & Compliance
We maintain strict HIPAA compliance throughout all RCM processes and offer continuous support for credentialing updates, re-credentialing, and contract renegotiations. Regular audits and compliance checks help your practice stay aligned with evolving regulations and payer requirements
Testimonials
Client Success Stories
FAQ
Frequently asked questions
Once we have securely received your patient and encounter data, we code, review, and submit claims to payers. We manage appeals and denials, track payments, and provide regular updates. Our process is designed to be efficient and transparent.
Our certified coders and billing specialists review every claim carefully. We use quality‑control checks, regular coding audits, and payer‑specific validation to reduce coding errors and the risk of denials.
Our denial‑management team reviews each denied claim to identify root causes. We correct issues, resubmit claims promptly, and, when needed, pursue appeals with payers to maximize reimbursement.
We offer flexible pricing tailored to client needs — including fixed fees, per‑claim pricing, or percentage‑of‑collections models depending on volume and services required. Contact us for a custom quote.
Yes. We specialize in seamless transitions from in‑house systems or other vendors. To ensure secure data migration, our team works closely with you and provides training as needed.
Resources
Your Go-To Source for Resources, Industry Updates, and Expert Insights
Ready To Get Started
Share your details with us, and we'll set up a tailored demo just for you.
