Practice Management
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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In the May issue of JUCM, Josh Russell wrote in his Letter from the Editor-in-Chief about thinking differently about follow-up. If you are not a physician, physician assistant or nurse practitioner and decided to skip his letter that month because it seemed too clinical, I urge you to go back and read it. One of the aspects of Urgent Care that separates us from other kinds of healthcare operations—or used to—is the tight collaboration between …
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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. 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 speaking, an employer is permitted to do so for any …
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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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Tracey Quail Davidoff, MD, FCUCM I was scanning the tracking board during an urgent care shift the other day and, as usual, my brain was five steps ahead. I read the chief complaints and had already determined the questions I’d ask to guide the history based on the differential diagnoses I’d predicted. This is a regular occurrence in the UC and ED, whether we admit it or not. It’s part of how we move things …
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The makeup of the urgent care industry has changed considerably since its inception in the 1970s. At the time, it was a radical idea to see patients with nonemergent complaints on a walk-in basis. Certainly hospitals wanted no part of it; that’s what they had emergency rooms for. Rather, the UC industry’s founders tended to be in private or small group practices, but unsatisfied with how they were practicing. Over the decades that followed, it …
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Download the article PDF: “Big Retail” Pivots Are a Retreat from “On Demand” Care Urgent message: Food, drug, and mass retailers continue to explore the healthcare space and seek profitable ways to leverage their massive footprints. As they shift their strategies in favor of primary care, especially for Medicare populations, they are relinquishing control of the transactional health market to urgent care. Alan A. Ayers, MBA, MAcc is President of Experity Consulting and is Senior …
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It’s a weird time right now, isn’t it? On one hand, visit volumes seem to be back to our pre-COVID “norms.” This should be business-as-usual to us, but it feels scary because everyone got used to volumes being so high for so long. On the other hand, everyone is short-staffed, so it’s a good thing we aren’t busier, but being short-staffed is also scary because we feel unprepared for the coming months when volumes go …
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Urgent message: When considering growth in urgent care, there are both advantages and challenges to acquiring an existing urgent care center vs developing a completely new business. Heather Real The urgent care industry is ever-evolving and flexing to meet the needs of patients and communities. This means the way operators enter the industry needs to be flexible, too. While starting a new business in a freshly outfitted space in a growing part of town is …
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