Practice Management
Recent headlines have put Medicare fraud—and the search for those committing it—in the spotlight. However, urgent care clinicians who toe the line in treating Medicare patients are less likely to face unwarranted audits in the future—while fraudsters are putting themselves more at risk than ever—under a new system revealed by the Centers for Medicare and Medicaid Services (CMS). The agency is essentially narrowing the scope of practices it will investigate for fraud, hoping it will …
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The Merit-Based Incentive Payment System (MIPS), the EHR incentive program, and other Medicare programs are driving the cost of complying with federal regulations through the roof, according to a new survey from the Medical Group Management Association (MGMA). The group says nearly half of practices in the U.S. spend more than $40,000 per full-time physician to keep up—while 14% say that figure is $100,000 or more per physician. The MGMA says the wide range is …
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Rates of infection with sexually transmitted disease are up. If you practice in urgent care, you probably don’t need statistics to know that, as many patients concerned about possibly having an STD find comfort in the relative anonymity of the urgent care center, and opt to get tested there instead of in their “regular” doctor’s office. Now the makers of “home tests” are taking aim at these same prospective patients with marketing messages that promote …
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We’ve told you recently about plans some insurers have to stick patients with the bill for emergency room visits that are retrospectively determined to have been nonemergent in nature. In essence, if patients go to the ED with an illness or injury that could have been handled in a lower-acuity setting (such as an urgent care center), as determined by the insurer, the patient’s claim will be denied. Now the American Medical Association is demanding …
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A situation brewing in Nebraska should serve as a cautionary tale for ensuring patients are safe at all times—and minimizing liability risk for all urgent care operators. A physician in Lincoln, NE has been accused of carrying out unnecessary, invasive physical exams of a female recruit to the Nebraska State Patrol. A state senator there plans to submit a formal complaint to state regulators and medical associations against the provider, after a female trooper filed …
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Citizens from coast to coast will have a rare opportunity to witness a total solar eclipse on August 21. States directly in its 70-mile-wide path—Oregon, Idaho, Wyoming, Nebraska, Kansas, Missouri, Illinois, Kentucky, Tennessee, Georgia, North Carolina, and South Carolina—are bracing for a massive influx of sky watchers intent on witnessing the phenomenon. Urgent care centers are shoring up their staffing in response. For example, Oregon’s St. Charles Health System is bringing in extra staff from …
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Urgent care operators have been making a splash by revamping existing retail spaces and restaurants into urgent care centers. Now hospital systems seeking to make inroads in the industry are doing the same. Around Indiana, for example, Indiana University Health is opening up centers in old bank branches; Community Health Network is setting up shop in a strip mall; and Franciscan ExpressCare is actually clearing some space for a clinic in an apartment-and-retail complex, hoping …
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The case of Texas newlyweds whom a court ordered to pay a photographer $1 million after engaging in a social media smear campaign has gotten a lot of attention. The headlines will fade, but the decision could give all businesses—including urgent care centers—cause to take another look at their options if they feel they’ve been wrongfully defamed online. In the Texas case, a newly married couple claimed the photographer was holding their wedding album “hostage” …
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Cases of Cyclospora cayetanensis infections have more than doubled in 2017 compared with the same period in 2016, according to the Centers for Disease Control and Prevention. Cases are not geographically centered, either: 27 states have confirmed the diagnosis, which is marked by watery diarrhea, anorexia, fatigue, weight loss, nausea, flatulence, abdominal cramping, and myalgia. Cyclospora infection can spread via food or water contaminated with the parasite; however, it is not transmitted directly from one …
Read MoreThe Centers for Disease Control and Prevention’s 2017 report Antibiotic Use in the United States: Progress and Opportunities embraces urgent care as an active participant in both healthcare delivery and antibiotic stewardship more than ever before. The CDC notes that urgent care has experienced “tremendous growth” and that continuing to incorporate antibiotic stewardship as a core value “will be an important factor in optimizing antibiotic use.” To support those efforts, the CDC put together The …
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