Practice Management
Just days ago, we told you about an urgent care center in Texas opening its doors as a collection center for area residents to drop off relief supplies for victims of Hurricane Harvey. The even-better news is that more urgent care centers around the country continue to extend themselves to help. FastMed announced three of its Houston-area centers are offering free tetanus boosters through Sunday, September 10. The shots are available to anyone 18 and …
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Washington’s attorney general has filed suit against St. Joseph Medical Center, charging that the hospital has illegally withheld “charity care” from tens of thousands of low-income Tacoma-area residents for years. Specifically, AG Bob Ferguson says St. Joseph has erected “obstacles” that inhibit providing care to patients who may have trouble affording it. State laws in Washington require hospitals to verify the income of prospective charity patients, but allegedly St. Joseph staff were directed to ask …
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Nonbiased parties outside of the urgent care arena are picking up on the idea that many people who visit the emergency room don’t really need to be there—and there are more data demonstrating that all the time. Most recently, the International Journal for Quality in Health Care published research stating that 3.3% of ED visits are “avoidable” altogether. The data reflect more than 424 million ED visits by patients between 18 and 64 years of …
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When President Trump took office, he vowed to take steps to make life easier for business operators. The White House just announced one step in that direction would be reversing an Obama administration decision to make employers, including urgent care operators, report how much they paid workers and break down the data by gender, race, and ethnicity. Obama believed doing so would help quantify (and ultimately curb) pay discrimination, while Trump maintains that the process …
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Date-of-services rules can be cumbersome on a good day—and can even turn an otherwise good day into a major headache for coders. A Medicare administrator contractor (MAC) put forth a provider outreach and education (POE) recommendation recently aimed at leveling out that “uphill battle” when it comes to complying with date-of-service requirements. An article in published online by DecisionHealth recommends clarifying the specific date-of-service rules your urgent care center follows when reporting common radiology, pathology, …
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A new study by the Blue Cross Blue Shield Association indicates that efforts to curb inappropriate antibiotics prescribing are working. The project considered 173 million claims reflecting the care of subscribers <65 years of age who filled antibiotic prescriptions between 2010 and 2016, finding that prescriptions for antibiotics fell 22% for infants, 16% for children, and 6% for adults during that time frame. Patients in the South and Appalachia were more likely to fill prescriptions …
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The need to reduce access to opioid pain medications is pretty well accepted at this point, though much of the outcry is vague and often geared toward echoing statistics about the very real epidemic of addiction and death. However, Intermountain Health, which operates InstaCare urgent care centers in Utah and Idaho, has gone a step further by crunching its own numbers and devising a plan to cut opioid prescriptions across its systems by 40% by …
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Lax record keeping, the transient nature of online identities, and continually changing mobile phone numbers make it hard enough to keep tab on “who’s who” in your patient records. Add common names to the mix and it’s easy to see how patient identity could be hard to keep straight—the consequences of which could be severe in terms of patient safety and your adherence to confidentiality laws. New Jersey thinks one solution would be Master Person …
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Connecticut lawmakers apparently think “If at first you don’t succeed…” is the perfect approach to slapping licensing fees on the urgent care industry. Democrats in the state House of Representatives have inserted a provision in the current proposed budget that would require all urgent care centers there to carry a distinct license. The problem (for them) is, they don’t have an abiding definition of what constitutes an urgent care center. Currently, the law views urgent …
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Independence Blue Cross has implemented a new policy that cuts reimbursements on procedures billed with modifier 25 (“Significant, separately identifiable E/M service”) by half for care given to Medicare Advantage members and patients covered by private insurance plans. The lower rate does not apply to traditional Medicare claims. Independence covers patients under its own name, but also through QCC Insurance Company, Keystone Health Plan Eastand AmeriHealth. The move sets Independence apart from other payers, including …
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