Practice Management
UnitedHealth Group’s Optum division vowed to open 19 new urgent care centers in Minnesota by the end of 2017—starting now, with operations in Eden Prairie and Plymouth commencing September 16. Firm plans for the remaining 15 locations are not confirmed, but a dozen are expected to be in the Twin Cities, ultimately. All the locations will fly the MedExpress banner. It’s a substantial change in the state’s urgent care profile; data from MN Community Measurement …
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The Urgent Care Association (UCA) has outlined a framework by which it plans to guide urgent care centers to reduce inappropriate outpatient antibiotic, with an ultimate goal to curb the growing threat of antibiotic resistance. UCA’s statement notes that with urgent care clinicians treating some 160 million patients annually—many of whom think they may need an antibiotic—this setting is in a strong position to effect positive change. “UCA recognizes the vitally important role our clinicians …
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The Affordable Care Act (ACA, or “Obamacare”) is driving higher volume in the emergency room at the same time it creates conditions resulting in lower availability of providers, according to a pair of new studies published in the Annals of Emergency Medicine. The end result: longer waits that frustrate patients and a patient load that clinicians may be hard pressed to keep pace with. While the studies were focused on Illinois and Massachusetts, the results …
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It may seem early, but September is actually the ideal time to start promoting influenza immunization programs in your urgent care center. The Centers for Disease Control and Prevention recommends that all patients 6-months-old and above receive a flu shot by the end of October. In addition to traditional promotional channels like local advertising and social media, don’t forget the value of good old-fashioned human contact; let patients who come in for everyday complaints that …
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Payers, politicians, and practitioners don’t often line up on the same side of issues, but in Colorado they’re united in their distaste for a proposed single-payer system that would increase health coverage in the state—at the cost of a $25 billion tax increase that could drive employers out, some fear. Proponents counter that “ColoradoCare” would end up saving more than $6 billion annually by 2019. Under the program, residents would choose among private health insurance …
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Providers are employing evaluation and management (E/M) code 99214 more than ever—and seeing fewer denials and higher reimbursements than in the past, ultimately. That doesn’t mean it’s open season on the higher level code (and associated higher reimbursements), however; documenting medical necessity sufficiently is still critical to ensuring the code is valid compared with the reigning most common code (99213). Operators must ensure coders understand that while a level 3 visit requires one to three …
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Colleges (not to mention nervous moms and dads) probably do everything they can to ensure that students know where the infirmary or student health center is located. While that’s clearly important, hours of operation tend to me somewhat limited. Students, especially those who may away from home for the first time, need to have a back-up plan when injury or illness strikes—and your urgent care center should be part of it. Ensure that it is …
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Urgent care operators that offer over-the-counter soaps marked as “antibacterial” in restrooms or other public areas should be aware that such products can no longer be marketed in the U.S., thanks to a new ruling by the Food and Drug Administration. Sharp-eyed (and certainly germaphobic) patients and other visitors to your urgent care center may take umbrage with signage or containers making claims that the soaps are antibacterial. The FDA made the decision after a …
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If parents bring in young children complaining of acute back pain, try taking a history that might be just a little more detailed than usual before ordering expensive images or referring. Actually, focusing on one specific question might reveal the answer: Did the onset of pain coincide with the start of the school year? If the answer is “yes,” ask for a detailed list of what goes into the child’s backpack every morning, and how …
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Recent headlines make the problem crystal clear—“For Each Hour of Clinical Time, Docs Spend 2 on Desk Work” from MedPage Today is a good example—but they don’t tell the whole story, at least where urgent care is concerned. The current hubbub stems from a study published in Annals of Internal Medicine that reveals physicians in ambulatory care settings spend almost 2 hours on clerical tasks for every single hour they spend with patients. Even in …
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