Practice Management
The comingling of urgent care and insurance has become so common that it scarcely raises headlines at this point. A new initiative involving GoHealth Urgent Care is a bit different, however. The company is teaming up with Force Diagnostics , a clinical underwriting data services company, to offer expedited physical exams for life insurance applicants. Currently, the standard practice when an individual applies for a life insurance policy is for a healthcare provider to be …
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We told you about a study that asked patients to weigh in on their preferences for how healthcare providers should dress. The choices ranged from office-casual to traditional business attire to the clinical white coat with a tie, or with a dress shirt for women. White-coat-and-tie or dress shirt proved to be the preferred attire because it conveyed both business formality and clinical authority. An article just published in The New York Times has now …
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The growing authority—and employment—of physician assistants and nurse practitioners in many practice settings demonstrates the practical need for high-level clinicians who cost less to employ than physicians. You can engage more of them than you can physicians, per dollar. That helps the operation run more smoothly without breaking the bank, theoretically. As PAs and NPs, known collectively as advanced-practice providers (APPs), grow in stature, however, a movement is afoot to free them from the bonds …
Read MoreMitigating Risk Through Shared Decisionmaking Key point: Shared decision-making appears to mitigate the risk to clinicians of patient complaints and lawsuits in the event of a bad outcome. Citation: Schoenfeld EM, Mader S, Houghton C, et al. The effect of shared decisionmaking on patients’ likelihood of filing a complaint or lawsuit: a simulation study. Ann Emerg Med. January 3, 2019. [Epub ahead of print] Missed and delayed diagnoses of dangerous conditions are unavoidable in …
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Figure 1. Case A 10-year-old boy visited urgent care complaining of multiple skin lesions on the rim of his ear. They had begun as vesicles and some were beginning to crust. He also had enlarged cervical lymph nodes. His mother was concerned because the symptoms developed after an early spring camping trip with his scout troop and two other boys had similar symptoms. View the photo taken, and consider what your diagnosis and next steps …
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Urgent message: As urgent care remains a hotbed of merger, acquisition, and transactional activity, owners and operators may see a prime opportunity to sell their practices at maximum market value. The complexities of selling (or buying) an urgent care practice can make it a daunting undertaking, however, and thus requires careful planning, expert counsel, and due diligence to pull off successfully. Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care and …
Read MoreIn July 2018, the Centers for Medicare and Medicaid Services made its first proposals to overhaul the primary payment methodology for outpatient services in over 20 years. In an attempt to simplify documentation, bill submission, and compliance requirements, CMS made a bold move that will materially change the way physicians and advanced practice providers (APPs) manage their clinical work flows. In essence, the recommendation was to eliminate the variable payments for the different Evaluation and …
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Case The patient is a 70-year-old female who presents with gradual onset of constant pain in her left lower chest and back. She is unsure when she first noticed the pain, but reports that it has worsened since she experienced a fall several days ago. She denies shortness of breath, diaphoresis, or an exertional component. View the images taken and consider what the diagnosis and next steps would be. Resolution of the case is described …
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The patient is a 28-year-old man who presents to urgent care with a single annular ecchymosis lesion on his leg the morning after returning home from a trip to visit his family’s cabin in the mountains of North Carolina. He “thought” he noticed a small insect bite in the vicinity. The lesion has become increasingly painful. View the photo taken and consider what your diagnosis and next steps would be. Resolution of the case is …
Read MoreAlan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care and is Practice Management Editor of The Journal of Urgent Care Medicine. Urgent message: Physician assistants and nurse practitioners perform many of the same tasks as physicians in urgent care settings, but ambiguity as to the nature of their practice means additional consideration must be given in how their pay is structured. The federal Fair Labor Standards Act1 (FLSA) states that all …
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