New ‘Visual Combo’ Code Brings Reimbursement Risks

New ‘Visual Combo’ Code Brings Reimbursement Risks

Effective January 1, 2026, the Centers For Medicare and Medicaid Services mandated a critical coding change for urgent care: Visually read COVID-19/flu combination tests must now be billed under the single code CPT 87812. This replaces the previous standard of unbundling the tests into 2 separate codes (CPT 87811 and CPT 87804) and was intended to be revenue-neutral. However, a national analysis of January 2026 data by Urgent Care Consultants exclusively for JUCM reveals a …

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APPs Manage Half of Medicare Urgent Care Visits as Volume Doubles

APPs Manage Half of Medicare Urgent Care Visits as Volume Doubles

While a study in JAMA Network Open last week found urgent care visits among traditional Medicare patients doubled between 2012 and 2019, at the same time, researchers also found the percentage of Medicare patients managed by advanced practice providers (APPs) increased from 21.0% in 2012 to 50.8% in 2019. According to the authors, visits seen by APPs showed a 497% relative increase in the study period, from 9.5 visits per 1,000 (95% confidence interval [CI], …

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AI Scribes Reduce Workload, Burnout Among Clinicians

AI Scribes Reduce Workload, Burnout Among Clinicians

In a quality improvement study of 263 ambulatory clinicians across 6 U.S. health systems published in JAMA Network Open, researchers found the use of an ambient AI scribe for 30 days significantly reduced professional burnout and administrative burden. The proportion of clinicians reporting burnout dropped from 51.9% to 38.8% (odds ratio 0.26; 95% confidence interval, 0.13–0.54). Significant improvements were observed in note-related cognitive task load (mean difference 2.64 points on a 10-point scale), focused attention …

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Clinicians Interested In Gaining AI Skills With Employers’ Support

Clinicians Interested In Gaining AI Skills With Employers’ Support

A survey of 1,504 clinicians found that 55% of them are planning on looking for a new job in the next year, and 42% worry that artificial intelligence (AI) is going to replace some aspect of their jobs. Additionally, 43% of respondents say AI is also the top clinical or technical skill they will need in the next 5 years. At least 80% of responding clinicians believe their employers should invest in continuing education and …

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Urgent Care Among Top Paid Specialties For PAs

Urgent Care Among Top Paid Specialties For PAs

According to a compensation survey analyzed by Beckers, physician assistants (PAs) in urgent care earn a median $154,355 in annual total cash compensation. In fact, urgent care is one of the top 10 highest paid specialties for PAs, although cardiovascular surgery claims the number 1 spot at $166,250 in annual compensation. For nurse practitioners (NPs), urgent care didn’t make the list of lucrative specialties, however, emergency medicine was ranked best for NPs at $155,556 in …

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Reasons To Reinforce Staff Social Media Policies 

Reasons To Reinforce Staff Social Media Policies 

Several urgent care workers in Santa Barbara, California, were terminated from employment recently after making controversial social media posts. Employees reportedly mocked a female patient and shared images of bodily fluids on an exam room table after the woman’s pelvic exam, according to local news reports. The social media account has since been locked and all posts were deleted. Even so, the center received a flurry of negative online reviews as a result. Policy points: …

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Casual Clothes Are Fine As Long You Also Wear Your White Coat

Casual Clothes Are Fine As Long You Also Wear Your White Coat

Healthcare organizations typically have strict dress codes for clinical staff as a way to identify who’s who. But it turns out that when a clinician wears a white coat, it affects patients’ perceptions of professionalism, trust, and communication, according to a review of 32 studies presented in BMJ Open. Patient preferences for physician attire varied significantly by clinical context, medical specialty, and physician gender, however. In primary care settings, casual attire was found to be …

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Online Healthcare Reviews Offer an Earful of Feedback

Online Healthcare Reviews Offer an Earful of Feedback

In an analysis of 1 million online Yelp reviews across 138,605 U.S. healthcare providers, researchers identified patterns and words linked to patient satisfaction by leveraging machine learning. More than 46% of the reviews were negative (1-2 stars), and 50.1% were positive (4-5 stars). The mean (SD) rating was 3.1 stars, according to the study published in JAMA Network Open. Negative feedback often cited administrative problems (such as unfair payment and poor phone interactions), and positive …

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Cleveland Clinic Adjusts Its Prepayment Policy

Cleveland Clinic Adjusts Its Prepayment Policy

In response to some public criticism, the Cleveland Clinic last week re-engineered a controversial policy that would have required patients to pay insurance co-pays upfront or risk having their appointments canceled on the spot. Initially set to begin June 1, the policy faced backlash from patient advocates and city officials, who warned the pay-first requirement could limit access to care for low-income families. The original pay-first policy excluded Medicaid and traditional Medicare enrollees as well …

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Patients Wait Average of 31 Days For Appointments in Metro Areas

Patients Wait Average of 31 Days For Appointments in Metro Areas

A recent survey reveals that scheduling a physician appointment now takes an average of 31 days—a 19% increase from 2022 and a 48% rise since 2004. Conducted in early 2025 by AMN Healthcare, the survey included 1,391 physician offices across 15 major U.S. metropolitan cities like New York, Los Angeles, and Miami, focusing on 6 medical specialties. The findings highlight community challenges for patients looking to access timely care. Wait times vary by specialty. For …

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