Beyond Vital Signs: Managing by Metrics for Optimal Health of Your Practice

Beyond Vital Signs: Managing by Metrics for Optimal Health of Your Practice

Urgent message: Establishing a system of metrics and ‘dashboards’ allows the urgent care operator to quantify key success factors and company values that may otherwise be impossible to measure. Laurel Stoimenoff Metric – Function: noun \’me-trik\ Def: A standard of measurement – Merriam Webster Online Dictionary. “What gets measured gets managed.” This pearl applies not only to the behemoths like General Electric, but also to a single-site urgent care center. A 2008 survey by the …

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Developing Data: May, 2010

In early 2008, UCA revamped its annual survey in conjunction with researchers at Massachusetts General Hospital and Harvard University with the goal of assuring that the UCA Benchmarking Committee’s efforts produced a scientifically valid report. Here, we present some of the data from this landmark survey. In this issue: How common is it for urgent care centers to process lab tests onsite – and what tests are they, typically? The question regarding lab tests was …

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Writing Off Patient Responsibility, Modifier-51, and More on New vs. Established E/M Codes

DAVID STERN, MD (Practice Velocity) Q. I listened to your UCA coding webinar, and it raised a question. You mentioned that if we bill insurance for a 99051 and the payor denies payment as “patient responsibility,” then we should bill the patient and not write it off. Does that hold true to the S9088, as well? I often see this code either denied or applied to the patient’s coinsurance/deductible. Question submitted by Megan Fontenot, Integrity …

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A Slip of the Lip Can Sink a Practice

When I was 11, attending Our Lady of the Wayside, I was on the wrong side of this exchange during a Marriage and the Catholic Family class, taught by a “largess nun” named Sister Marie Magdalena, whom the entire seventh grade called “MooMoo.” MooMoo: “Sexual relations are a very beautiful thing and can only occur between a husband and a wife.” JS after being called upon: “How would you know how beautiful it is?” Now, …

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The Case for Relationship based Clerical Care

The Case for Relationship based Clerical Care

Urgent message: Embedding a clerical component within a relationship-based care approach has been shown to improve both financial outcomes and patient satisfaction. Noel Clinton, BS Introduction When we hear the term “relationship-based care,” we tend to think first about the relationship between the clinical staff and the patient. However, a prospective program as Bassett Healthcare in Cooperstown, NY has shown that positive patient care and improved financial outcomes are also a result of developing a …

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Developing Data: April, 2010

In early 2008, UCA revamped its annual survey in conjunction with researchers at Massachusetts General Hospital and Harvard University with the goal of assuring that the UCA Benchmarking Committee’s efforts produced a scientifically valid report. Here, we present some of the data from this landmark survey. In this issue: What orthopedic-related services do urgent care centers tend to offer? * “Fracture care” includes splinting and casting. The question regarding orthopedic-related services was just one segment …

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Coding X-Rays Ordered by Outside Docs, G-code for Drug Testing, and 99051 for Scheduled Visits

DAVID STERN, MD (Practice Velocity) Q. We have quite a few primary care physicians who regularly send patients to our urgent care center for x-rays. These patients have a prescription for the x-ray service, and they don’t want to be seen by the urgent care doctor. I have several questions related to this service: Should we collect the urgent care copay (or) radiology imaging services copay (which is usually $0)? Should we code S9083 to …

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SellingWellness Services to Employers

Somewhere between the episodic nature of the typical urgent care visit and the steady relationship between patient and primary provider lies a need for employers—your occupational medicine customers and prospects—to support the health of their employees. This need may be especially great with many companies having trimmed their workforces; fewer employees doing more work than ever before means there is real economic value in keeping those workers well and on the job.

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Protecting the Urgent Care Center from Sexual Harassment Claims

Protecting the Urgent Care Center from Sexual Harassment Claims

Urgent message: Sexual harassment claims can be costly for an urgent care operator, not tomention ruinous to a center’s reputation. An urgent care center should protect itself by having firm policies and procedures in place to prevent and resolve sexual harassment issues. Alan Ayers, MA, MAcc, Experity Sexual harassment emerged as a major human resources issue in the 1990s. Victims of alleged sexual harassment – who can be men or women – sometimes find sympathetic …

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