Practice Management
“Appearances matter” is a commonly heard phrase, but sometimes appearances can either encourage new patients to come in or literally stop patients at the door. It’s not enough that you’re open 12 hours per day. The equally important question is, does your urgent care center look open? I’ve frequently seen urgent care centers which—during operating hours—have their exterior signage turned off, no “open” sign displayed, and their window blinds closed, giving the appearance of being …
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Local media, elected municipal officials, and residents who know a good—and necessary—thing when they see one united in welcoming a new urgent care to an underserved corner of western Kansas. St. Catherine Hospital first recognized the need for a new community health resource to offset the pressure building in its own overcrowded emergency room, where patients complained about having to wait hours—or months, in extreme cases—just to be seen by a physician. Garden City, now …
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Some national provider organizations have, at times, been downright vehement in opposing the growth of urgent care. The common “complaint” seems to be that allowing patients to receive care without an appointment threatens the well-founded idea of the medical home. On the other hand—as industry insiders and patients know—urgent care provides necessary care at the time it’s needed most. If you want to build up relationships with local providers instead of defensively fending off misperceptions, …
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Urgent care centers see their share of patients seeking relief from yeast infections. The Centers for Disease Control and Prevention (CDC) is warning healthcare facilities around the country of a multidrug-resistant type of yeast that has caused deadly hospital infections across the globe. Most commonly, Candida auris has caused healthcare-associated invasive infections such as bloodstream infections, wound infections, and otitis. Officials started taking note of international reports of C auris infections when it became clear …
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A new payment system being considered by the Centers for Medicare and Medicaid Services (CMS) will have to make more accommodations for smaller practices—such as many urgent care centers—if there’s any hope of it succeeding, according to comments the Urgent Care Association (UCA) submitted to CMS. In its current form, the Merit-Based Incentive Payments System (MIPS) would require some clinicians to get an exemption from MIPS by participating in an Advanced Alternative Payment Model or …
Read MoreIn my last column, I presented ways that urgent care medicine can mature as a discipline and a health-care service. I discussed opportunities for expanding our value in a changing system. This month I suggest that one such opportunity, already in the pipeline, could dynamically augment urgent care’s role in what many consider to be the number one public health crisis: type 2 diabetes. The annual incidence of prediabetes and diabetes in U.S. adults is …
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In 2015, Merchant Medicine (Shoreview, Minnesota) released data from a detailed national study conducted in 2014 of U.S. patients’ preferences regarding retail clinics versus urgent care clinics versus primary-care physicians’ offices. The survey involved more than 2,000 adults between the ages of 18 and 54 years and was conducted by Sparks Research and Merchant Medicine on behalf of DXM Marketing Group. Urgent care is still sometimes viewed as being only for nights and weekends, but …
Read MoreQ. We had a patient present with 12 plantar warts. The provider used liquid nitrogen to freeze all 12 of the warts. What code should I bill for this procedure? A. In this case, you would bill Current Procedural Terminology (CPT) code 17110, “Destruction (e.g., laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement) of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions.” Use only code 17110 once because the …
Read MoreSEAN M. McNEELEY, MD Dexamethasone May Be Worthwhile in Treating Adult Asthma Key point: Dexamethasone is almost as good as prednisone in treating asthma in adults. Citation: Rehrer MW, Liu B, Rodriguez M, et al. A randomized controlled noninferiority trial of single dose of oral dexa- methasone versus 5 days of oral prednisone in acute adult asthma. Ann Emerg Med. 2016 April 22. doi: 10.1016/ j.annemergmed.2016.03.017. [Epub ahead of print.] In a randomized placebo-controlled trial …
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