Practice Management
Download PDF: End of the Public Health Emergency: What’s Next? With expiration of the national Public Health Emergency (PHE) as of May 11, the revenue cycle management (RCM) industry has to adjust to the “new normal.” Some emergency declarations were tied to the end of the PHE and others are not. While not a comprehensive list, I’ve outlined some of the most urgent care-relevant changes below. Payers Coverage for COVID-19 Testing, Treatments, and Vaccines During …
Read More
Urgent message: In December 2022, Congress passed the Mainstreaming Addiction Treatment Act (W-Waiver), which would remove federal patient caps and allow any healthcare provider with a standard DEA controlled-medication license to prescribe buprenorphine. Alan A. Ayers, MBA, MAcc is Senior Editor of The Journal of Urgent Care Medicine and President of Experity Consulting. For over a decade, the question of whether or not to prescribe buprenorphine/naloxone (Suboxone) products in urgent care has resurfaced with regularity. With …
Read More
Urgent message: Lacerations are a common reason for patients to present to urgent care. Data suggest not all providers are comfortable managing lacerations, however. Clinicians who need additional training should be afforded such in order to reduce acuity degradation and unnecessary referrals to the emergency room. David T. Ford, MD; Patrick M. O’Malley, MD; and Brantley Dick, MD Citation: Ford DT, O’Malley PM, Dick B. Assessing Urgent Care Clinics’ Readiness to manage a lip laceration. …
Read More
Figure 1: Initial ECG (Case presented by Benjamin Cooper, MD, MEd, FACEP, Department of Emergency Medicine, McGovern Medical School at UTHealth Houston.)
Read More
A 46-year-old female presents with an evolving eruption that developed on her right hand and spread to her forearm over the past several weeks. She is an immunocompetent commercial landscaper who lives in Brazil, and she does not recall any specific injury. She is regularly exposed to toxic plants and sustains minor scratches and cuts at work. She also suspects that she could have experienced bug bites. She appears well and is without systemic symptoms. …
Read More
A 40-year-old male presents with pain and swelling in his right eye after being struck by a foul ball while coaching his daughter’s softball game. View the images taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.
Read More
Download the PDF: Are Urgent Care Providers Liable if They Don’t Test Patients for COVID? Urgent message: As the severity of newer strains of SARS-CoV-2 has decreased, many patients and providers have become less vigilant about COVID-19. Yet COVID-19 remains among the top 10 causes of death in the U.S. Failure to diagnose and, if eligible, treat patients with COVID-19 may result in significant harm. Professional liability is less likely, however, given the current governmental …
Read More
Download the PDF: The 10-Year Trend on UC Claim Lines Is Strong—in the City and in the Country . Believe it or not, just a decade ago urgent care accounted for barely 6% of all claim lines in the United States. There was little difference between rural and urban settings, too. New research from FAIR Health1 shows that the picture changed dramatically in 2015, though, as the percentage of claim lines attributed to urgent care …
Read More
Urgent message: By the time an adverse outcome occurs in the urgent care center, it’s too late to go back and ensure the documentation reflects the care the patient received. Lyndsie Pfeifer, DO; Marta Fratczak, Kinkela Harkins, and Michael Weinstock, MD Citation: Pfeifer L, Fratczak M, Harkins K, Weinstock M. Back pain, an urgent care visit—and a devastating outcome. J Urgent Care Med. 2023;17(8):13-17. Key words: back pain, documentation INTRODUCTION It’s easy to let our …
Read More
Urgent message: Given the high rate of systemic involvement in patients with anorectal abscess, it is essential for urgent care providers to identify patients with risk factors and, when indicated, ensure those patients receive incision and drainage and appropriate follow-up care. Cameron W. Galbreath, MSN, FNP-C and Christina Gardner, DHSc, MBA, PA-C Citation: Galbreath C, Gardner C. No butts about it: approaching anorectal abscesses in the urgent care center. J Urgent Care Med. 2023;17(8):19-23. Key …
Read More