Practice Management
Hal P. Kramer, MD After 41 years of clinical medicine, 2025 became my “physician, heal thyself” year. I became a patient with a story. Without challenge or feedback, many of us continue to repeat the same physical exams for a variety of complaints. We all develop our tools of the trade. However, we must remember that medicine is never all-known. Old ways can lead to new ways with a questioning and inquisitive mind. How many …
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Steve Sellars February always seems to arrive with a sense of motion. The year is no longer “new,” plans begin to take shape, and the work ahead becomes clearer. For Urgent Care, that momentum feels especially meaningful right now. During the first week of February, the Urgent Care Association (UCA) convened leaders from across the country in Washington, D.C., for our 2026 Capitol Hill Advocacy Day. It was a powerful reminder of what happens when …
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Urgent Message: Urgent care teams can take practical steps to safeguard quality for Clinical Laboratory Improvement Amendments (CLIA)-waived testing by following detailed Instructions for Use information. Key Words: Clinical Laboratory Improvement Amendments; CLIA-Waived Testing; Certificate of Waiver Cathy Bohrer, MT(ASCP) Laboratory tests commonly used in urgent care are only reliable when their Instructions for Use (IFU)—including any limitations—are followed. For urgent care leaders, this isn’t just about compliance with federal regulations. Patient outcomes, safety, and …
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Urgent Message: Urgent care facilities must ensure their medical diagnostic equipment and staff training protocols meet new ADA accessibility standards by the July 8, 2026, deadline. Key Words: Americans with Disabilities Act; Medical Diagnostic Equipment; Accessible Exam Tables; Staff Training; Urgent Care Compliance Alan A. Ayers, MBA, MAcc Ensuring equal access to healthcare services isn’t just a goal, it’s a legal mandate. The Americans with Disabilities Act (ADA)1 assures everyone has equal access to healthcare …
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Lisa H. Bishop It’s a familiar story. A friend was recently on vacation and visited a small, rural “urgent care” with a 2-day history of nasal congestion and a scratchy throat—no fever, no sinus tenderness, and a reassuring exam. She left with 4 prescriptions: a Z-Pak, a Medrol Dose Pack, a narcotic cough syrup, and Diflucan, “just in case the antibiotic causes yeast.” She reached out to me, concerned that she received 4 prescriptions for …
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While examining 17,410,492 commercially insured visits in the Experity EMR from November 1, 2024, through October 31, 2025, we calculated zero-balance net revenue per visit (NRV) for urgent care by state. NRV represents total payments from both patients and insurers when the claim is closed, and it includes evaluation/management and ancillary codes. Data include commercial plans and third‑party managed Medicaid and Medicare but exclude self-pay, workers’ compensation, employer-paid services, motor vehicle accidents, and traditional Medicare …
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Phyllis Dobberstein, CPC, CPMA, CPCO, CEMC, CCC In the last few years, the Centers for Medicare & Medicaid Services (CMS) has accelerated its long-term effort to strengthen primary care as the foundation of the U.S. health system. Through new payment models, regulatory changes, and equity-driven initiatives, CMS aims to rebalance healthcare spending toward prevention, care coordination, and whole-person health. All these are areas historically underfunded compared to specialty or hospital care. Major policy changes have …
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As we begin a new year, I’m struck by both the resilience of the Urgent Care community and the urgency of the moment we’re in. Over the past several months, through conversations with operators, clinicians, vendors, and other partners, one message has been unmistakably clear: Urgent Care is ready to move forward together with renewed purpose, a stronger voice, and a sharper vision for the future. 2026 will be a pivotal year. The pressures facing …
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Phyllis Dobberstein, CPC, CPMA, CPCO, CEMC, CCC, is Revenue Integrity Manager at Experity. The financial and reputational health of an urgent care practice depends on one simple principle: Bill accurately and compliantly. Yet as reimbursement rules evolve and staffing models shift toward greater reliance on non-physician practitioners (NPPs), many centers find themselves at risk for costly missteps. From billing under the wrong provider to out-of-network (OON) complications and False Claims Act (FCA) violations, administrators are …
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About three-quarters of urgent care centers test for C. trachomatis and N. gonorrhoeae (CT/NG) infections either in-house or by sending out, but utilization lags. Here’s why it matters. An Urgent Care Consultants analysis of 90,856,421 visits charted in the Experity EMR (January 1, 2022–September 13, 2025) shows adoption has broadened since the previous analysis.1 Across visits in all clinics, only about 1% included a CT/NG test, while the top-decile clinics test in roughly 4–5% of …
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