Urgent Care Revenue Cycle Management Solutions

Urgent care centers have seen increased popularity in their setting of care due to affordability, accessibility and quicker treatment compared to alternative options. Because of this, many centers are pursuing more sophisticated revenue cycle management (RCM) tools that help optimize reimbursement. These tools are critical in a fast-paced urgent care environment, allowing staff members to excel at insurance verification, patient collections, revenue capture, and more.

The good news is that the right Billing and RCM Solution can make a difference. CRYPTON Global Services helps your urgent care center to capture revenue with ease. By integrating with your existing health information system, CRYPTON’s dynamic solutions help you streamline processes and recoup and retain every dollar to which you’re entitled. Take your urgent care RCM to the next level to gain the revenue you earn.

Want to learn more? Take a tour of CRYPTON’s dynamic urgent care revenue cycle solutions:

Verify insurance eligibility prior to services rendered, estimate patient costs and identify hidden insurance coverage.

Patients don’t always present to the same urgent care center, nor do they present to these centers with any type of regularity. Thus, it’s difficult to obtain and maintain accurate demographic and insurance eligibility information. In addition, front-end staff also doesn’t always collect comprehensive information due to the emergent nature of the clinical situation. You need urgent care RCM solutions that not only verify eligibility in real-time but can also estimate patient responsibility and find coverage in self-pay.

Here’s how CRYPTON can help:

Patient Estimation

The rise in high deductible health plans has increased patient responsibility: forcing many patients to pay more out-of-pocket for healthcare services than ever before. As expected, patients want providers to tell them up front what they’ll ultimately owe. CRYPTON’s Patient Estimation is a patient cost estimation solution that assists your staff in providing patients with a written estimate before services are rendered that explains the cost of all procedures, including what the insurance company will likely pay and what the patient will likely owe.

Eligibility Verification

Ineligible patient insurance coverage is one of the leading causes of payer claim rejections and denials. CRYPTON’s Eligibility Verification solution provides customizable and easy-to-read payer responses. Beyond insurance eligibility verification, CRYPTON includes co-pays, deductibles, inpatient days used, and other pertinent benefit data. Armed with this information, you’ll be able to make payment arrangements and increase collections prior to rendering services.

Coverage Detection

A surprising percentage of your self-pay and charity patients likely have full or partial insurance coverage that your organization may not be aware of. CRYPTON’s Coverage Detection solution provides powerful, proprietary intelligence based on a decade-and-a-half of data from hospitals, health systems, physicians, specialty groups, ancillary providers, and payers.

Capture revenue with point-of-service and self-pay patient collections solutions.

Urgent care patient collections processes can pose many challenges, particularly for those that must meet requirements outlined in the Emergency Medical Treatment and Labor Act (EMTALA). CRYPTON’s urgent care patient collection solutions take the stress out of point-of-service collections and provide patients with an outstanding financial customer service experience. CRYPTON’s patient payment solutions provide flexible payment options that enable maximum payment through payment plans and easy to understand payment communications.

Here’s how CRYPTON can help:

POS Collections & Processing

High-deductible health plans and self-pay patients make patient financial responsibility a key part of your revenue stream. Not only must you collect more money directly from your patients than ever before, but you also need to keep them happy while you’re doing it. That’s the only way to build patient satisfaction and loyalty.

Patient Notebook

Today’s consumers want the convenience and ease of paying their bills online, and that desire doesn’t change when those consumers become patients. CRYPTON’s Patient Notebook, a patient payment portal, provides a secure online patient payment center where you can send statements, collect payments, and more via a secure and safe channel.

Patient Statements & Communication

Patients often delay paying their healthcare bills—or refuse to pay them at all—simply because they don’t understand what they owe and why. These bills may take hours of staff time to create, fold, stamp, and address, not to mention the cost of postage and returned mail. With CRYPTON’s Patient Statements, you can design, create, and send patient statements that are easy for patients to understand and that drive reimbursement to your preferred payment options.

Accelerate cash flow by managing your urgent care’s claim reimbursement.

A manual reconciliation process makes it nearly impossible to pinpoint each claim’s movement through the payment lifecycle. You need automated remittance processing and reimbursement deposit management to gain real-time cash flow insight. By automating reconciliation, you eliminate thousands of hours wasted on labor-intensive manual processing, reduce the risk of errors, auto-post pre-reconciled download files, and expose missing items—all in a matter of seconds. You also need reporting data and analytics to help you monitor performance KPIs in order to identify new ways to improve operational and financial performance. When denials do occur, you need solutions that help you streamline the appeals process, establish new processes, and ensure corrective action going forward.

Here’s how CRYPTON can help:

Claims Management

Filing claims and collecting payments from commercial and government payers is the financial lifeblood of your organization. Powered by insights drawn from CRYPTON’s network of thousands of providers and organizations, our award-winning claims management software streamlines and automates your entire workflow for faster and more accurate medical claims processing, lower costs, and higher efficiency.

Payment Analytics.

Optimal revenue performance hinges on constantly monitoring key performance indicators (KPIs) and acting decisively to address issues before they significantly impact your organization.

Denial & Appeal Management

The time-consuming process of denial management—which includes tracking claim adjudication, identifying denied claims, researching reasons for denials, collecting necessary documentation, and writing and submitting appeals – need not be so laborious. CRYPTON’s Denial and Appeal Management solution reduces the time spent researching the denial and appealing each claim.

Remit Management

Lost claim remittances and the time-consuming process of manually posting payments leads to costly delays, increased AR days, and unrealized revenue. CRYPTON’s Remit Management solution provides a cost-effective way to receive electronic remittance advice from payers and compile the information all in one system, saving you time and reducing manual processes and errors.

Remit and Deposit Management

Historically, reimbursement deposit management has been mostly a manual and time-consuming process, requiring providers to wait for each bank statement to arrive and manually reconcile each remit. Re-association takes multiple resources, and missing deposits or remits can take hours to resolve. CRYPTON’s Remit and Deposit Management solution provides up-to-date banking information so you can quickly and accurately post payments. The solution automates the remit and deposit management process by offering a direct connection to a provider’s banking accounts to save time, reduce days in accounts receivable, and improve cash flow.