Practice Management
Urgent Message: Employer worksite clinics represent both a threat and an opportunity. Urgent care could lose some volume to no-cost care at work, but new business evolutions include partnering with local employers to develop onsite care models. Alan A. Ayers, MBA, MAcc is President of Experity Consulting and Senior Editor of The Journal of Urgent Care Medicine. Patients today have more options for where they receive care than ever before, which means more competition for …
Read MoreAcross the hills and valleys of healthcare, the rising power of the consumer has reshaped the landscape more than any other market shift in recent memory. Patient preferences are fueling demand for everything from virtual care to retail-store clinics. For urgent care, the innovations represent thrilling opportunity alongside equal measures of competition. The ratio of wins to losses will vary by market. Yet even with the large-scale disruption, urgent care has grown with intention, both …
Read MorePhyllis Dobberstein, CPC, CPMA, CPCO, CEMC, CCC, is RCM Compliance Manager, Experity With the fall season comes all the coding changes for the year. This starts with the 2024 edition of the ICD-10-CM codes, which went into effect on October 1, 2023. As a reminder, there is no grace period. Changes are effective on dates of service as of October 1. Prior to this date, practices should continue to use the 2023 ICD-10-CM code set. This …
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Urgent message: By leveraging grant funding, community-facing services, and a collaborative model with school districts, QUICKmed Urgent Care operates a successful school-based health center model. This innovative approach addresses healthcare gaps in underserved areas and augments the operator’s core business. Alan A. Ayers, MBA, MAcc Click Here to download the article PDF QUICKmed Urgent Care, based in Youngstown, OH, is a prominent provider in the state’s Northeast region. Its 12 traditional urgent care centers are …
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Joanne P. Parker, MD Urgent message: High blood pressure is a common incidental finding in urgent care. Distinguishing patients who may need treatment from those who should be advised to follow up for further evaluation is well within the urgent care provider’s field of expertise. Click Here to download the article PDF Patients often present to urgent care with concerns about their blood pressure readings. Additionally, high blood pressure (BP) is frequently a very incidental …
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Heather Real Click Here to download the article PDF In the journey of an urgent care visit, where does the patient story begin? Is it when the patient walks through the door, or did it start when the patient was still at home Googling “urgent care near me” on their phone? It is likely neither of these. The patient journey to your urgent care actually begins before they even have a sniffle, fever, or injury; …
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On paper (so to speak), in-office prescribing in the urgent care center would seem to be a no-brainer for all concerned: patients could avoid the time-consuming hassles of navigating the retail drugstore morass and head straight home with their medication, and providers could be assured that their patients got the right medication in a timely manner and could be the responsible parties to answer any questions they may have—all while collecting a modest profit. That’s …
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Urgent message: Whether due to reduced staffing needs or employee preference, some employees in urgent care are no longer scheduled for full-time hours. Changing from full-time to part-time status, however, may have consequences beyond simply working fewer hours. Alan A. Ayers, MBA, MAcc is President of Experity Consulting. There are any number of reasons why an urgent care owner or operator might want to change the status of an employee from full-time to part-time. Generally …
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Improving antibiotic stewardship was an industry-wide mandate even before a 2018 study indicated that urgent care appeared to be more likely than other settings to overprescribe for common infections. While the methodologies could be questioned, especially in their take on the nature of urgent care visits, the point was well taken. Since then, urgent care as a whole has sought to improve providers’ prescribing habits more aggressively than ever. The initial awareness campaigns did a …
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Phyllis Dobberstein, CPC, CPMA, CPCO, CEMC, CCC Modifier 25 is used to indicate a significant, separately identifiable evaluation and management (E/M) service was required on the day of a minor surgical procedure. The procedure performed must have a global period of 0 or 10 days. An example of this is a laceration repair. Modifier 25 is overused in the industry and has been under scrutiny from payers for decades. Now private payers are implementing policies …
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