Which Way to Go: The Pros and Cons of 1099 vs W-2 Income for Urgent Care Physicians

Urgent message: To avoid running afoul of labor and tax laws, urgent care operators should understand what constitutes an “independent contractor” vs an “employee” and classify and pay their physicians appropriately.   Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care and is Practice Management Editor of The Journal of Urgent Care Medicine.   Introduction Many smaller, independent urgent care providers pay their physicians under 1099 arrangements rather than with W-2 …

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Effectively Utilizing 90-Day Probationary Periods for New Employees

Urgent message: A 90-day probationary period suspends the standard employment rules for new employees, enabling them to learn the position, but providing an “out” before the employee becomes too entrenched.   Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care, LLC and is Practice Management Editor of The Journal of Urgent Care Medicine.   Introduction Whenever a company hires a new employee, despite the most sound recruiting and interviewing processes, they’re …

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New Rules for Beneficiary Inducements at Urgent Care Centers

New Rules for Beneficiary Inducements at Urgent Care Centers

Urgent message: Unlike other retail businesses, which commonly provide gift cards and other incentives in marketing or as remediation for unsatisfactory service, urgent care operators must be aware of various statutes prohibiting “inducements” to patients. Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care and is Practice Management Editor of The Journal of Urgent Care Medicine. People in the U.S. love the idea of getting something for nothing. Businesses across the …

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The Importance and Validity of Nondisclosure and Nonsolicitation Clauses for Urgent Care Center Owners

Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care, LLC and is Practice Management Editor of The Journal of Urgent Care Medicine.   Urgent message:  Nondisclosure and nonsolicitation clauses are necessary to protect an urgent care center from providers and staff utilizing information gained in their employment in ways that may be damaging to the business, but to be effective, their restrictions and limitations must be understood. Businesses frequently rely upon …

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Misunderstanding Occupational Medicine Services ‘Protocols’

Misunderstanding Occupational Medicine Services ‘Protocols’  Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care and is Practice Management Editor of The Journal of Urgent Care Medicine.  Urgent message: Urgent care owners should be aware of the misuse of the term “protocol” and the scope of employers’ directions concerning the processing of employees in their centers. In addition, urgent care owners need to be diligent when they believe that one of their …

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Law Enforcement and Healthcare: When Consent, Privacy, and Safety Collide

Urgent message: Urgent care providers are likely to encounter law enforcement officers in the workplace at some point—and to be asked to comply with requests that may or may not violate a patient’s right to privacy, or compromise the urgent care center’s compliance with federal or state law or medical ethics. Understanding your legal rights and responsibilities is essential to fulfilling your obligations to both the patient and the law. Suzanne Cate Jones and Anne …

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Implications of HIPAA and Employee Confidentiality Rules on Positive Drug Test Results

Implications of HIPAA and Employee Confidentiality Rules on Positive Drug Test Results

Urgent message: In addition to drug testing their own employees, many urgent care centers offer drug testing as a service to other employers. Therefore, it’s important to understand the laws affecting the privacy of drug screen results.  Alan A. Ayers, MBA, MAcc is Vice President of Strategic Initiatives for Practice Velocity, LLC and is Practice Management Editor of The Journal of Urgent Care Medicine Introduction It’s standard procedure throughout the country for employers to require …

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What HIPAA Is and What It’s Not

Urgent message: While many people perceive HIPAA as a law governing patient privacy, protection and standards for personal health information is only one aspect of this law, which was originally intended to regulate health insurance.   Alan A. Ayers, MBA, MAcc is Vice President of Strategic Initiatives for Practice Velocity, LLC and is Practice Management Editor of The Journal of Urgent Care Medicine. Introduction Ask anyone—even the owner of an urgent care center—what HIPAA is, …

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What Constitutes Consent for Treatment of a Minor in Urgent Care?

Urgent message: Urgent care centers must use all reasonable efforts to comply with informed-consent and consent-to-minors laws. This should include consulting with legal counsel on the specific laws of the state and developing protocols to shield the center from possible litigation. Alan A. Ayers, MBA, MAcc is Vice President of Strategic Initiatives for Practice Velocity, LLC and is Practice Management Editor of The Journal of Urgent Care Medicine. Introduction Medical practices like urgent care centers …

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Understanding the Ins and Outs of Triple Net Leases

Alan A. Ayers, MBA, MAcc is Vice President of Strategic Initiatives for Practice Velocity, LLC and is Practice Management Editor of The Journal of Urgent Care Medicine. Urgent Message: As urgent care expands into traditional retail space, it’s important to understand the obligations of leases that require tenants to act as property “owners” responsible for all taxes, utilities, and maintenance of the real estate. While the defining characteristic of urgent care facilities across the country …

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