Which Way to Go: The Pros and Cons of 1099 vs W-2 Income for Urgent Care Physicians

Urgent message: To avoid running afoul of labor and tax laws, urgent care operators should understand what constitutes an “independent contractor” vs an “employee” and classify and pay their physicians appropriately.   Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care and is Practice Management Editor of The Journal of Urgent Care Medicine.   Introduction Many smaller, independent urgent care providers pay their physicians under 1099 arrangements rather than with W-2 income. There are advantages to this practice, such as decreased payroll taxes, workers compensation coverage, malpractice …
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Effectively Utilizing 90-Day Probationary Periods for New Employees

Urgent message: A 90-day probationary period suspends the standard employment rules for new employees, enabling them to learn the position, but providing an “out” before the employee becomes too entrenched. Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care, LLC and is Practice Management Editor of The Journal of Urgent Care Medicine. Introduction Whenever a company hires a new employee, despite the most sound recruiting and interviewing processes, they’re taking a risk that the individual could be a poor fit. The hiring process is time-consuming and …
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New Rules for Beneficiary Inducements at Urgent Care Centers

Urgent message: Unlike other retail businesses, which commonly provide gift cards and other incentives in marketing or as remediation for unsatisfactory service, urgent care operators must be aware of various statutes prohibiting “inducements” to patients. Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care and is Practice Management Editor of The Journal of Urgent Care Medicine. People in the U.S. love the idea of getting something for nothing. Businesses across the spectrum leverage this to promote their products, attract new customers, and increase sales.1 This tactic …
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The Importance and Validity of Nondisclosure and Nonsolicitation Clauses for Urgent Care Center Owners

Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care, LLC and is Practice Management Editor of The Journal of Urgent Care Medicine.   Urgent message:  Nondisclosure and nonsolicitation clauses are necessary to protect an urgent care center from providers and staff utilizing information gained in their employment in ways that may be damaging to the business, but to be effective, their restrictions and limitations must be understood. Businesses frequently rely upon important and confidential information for the success of the company. This information, often referred to …
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Misunderstanding Occupational Medicine Services ‘Protocols’

Misunderstanding Occupational Medicine Services ‘Protocols’  Alan 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: Urgent care owners should be aware of the misuse of the term “protocol” and the scope of employers’ directions concerning the processing of employees in their centers. In addition, urgent care owners need to be diligent when they believe that one of their clients is attempting to override the course of medical treatment for an employee.  The discipline …
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