Q: Do you have information on the 2017-2018 influenza vaccine codes? A: The American Medical Association (AMA) recently published a list of new and revised vaccine codes on their website (https://www.ama-assn.org/sites/default/files/media-browser/public/cpt/vaccine-long-desc-july-2017.pdf). These codes will be published in the 2018 Current Procedural Terminology (CPT) manual. The two new influenza vaccines on the list are: 90682, “Influenza virus vaccine, quadrivalent (RIV4), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use” 90756, …
Read MoreWhat 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 …
Read More
Disaster Strikes—What’s the Plan for Your Urgent Care Center?
Urgent message: Urgent care centers exist to help people who need to see a healthcare professional today. When that need coincides with a natural or manmade disaster, every location must have a plan of action to ensure any downtime is minimal, staff needs are met, and the business is able to survive. Introduction No region of the country—for that matter, no state, town, neighborhood, or block—is immune from disabling disasters. Hurricanes, tornadoes, flooding, forest fires, …
Read More
Feds Expand Pool of Mandatory Drug Tests for Government Workers
Urgent care operators who offer occupational medicine services should be aware that new guidelines for federal workplaces include mandatory screening for four relatively common opioid pain medications. As of October 1, employee drug tests must include screens for oxycodone, oxymorphone, hydrocodone, and hydromorphone. The Substance Abuse and Mental Health Services Administration (SAMHSA) says this will mainly affect some 400,000 federal employees with public health, public safety, and national security responsibilities. Positive results that are not …
Read MoreGathering Metrics on Pediatric Urgent Care: Convenient Hours
In this issue of JUCM, we inaugurate a new focus on treating children in the urgent care center. This will manifest in the form of semiregular articles by clinicians who’ve made the commitment to focus on pediatric urgent care. The first, Approach to the Child with Chest Pain, appears on page XX. We are not alone in recognizing that urgent care is ideally suited to the treatment of children whose presenting symptoms don’t warrant a …
Read MoreMaximize Revenue for Nebulizer Treatments
Q: What can we bill for when we give a patient a nebulizer treatment for an acute airway obstruction during an exacerbation of asthma, or wheezing due to an upper respiratory ailment? A: You can bill for the service and the medication. However, depending on the payer rules, the medication might be bundled into the service. Time is a factor when billing the service. If the treatment is less than 1 hour, you would bill …
Read MoreUnderstanding 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 …
Read More
Why Urgent Care Needs More Controllers, Fewer Empathizers
Urgent message: The rise of self-service technologies means that when patients actually do need to interact with frontline staff to resolve a service issue, their more complicated issues, more stringent demands, and higher expectations require an opinionated and outspoken “controller” personality type to take control of the situation. As urgent care relies on positive of word-of-mouth to drive new and repeat visits, a center not only must deliver an exceptional patient experience, but also resolve …
Read MoreCome October, Come the Flu
On paper, flu season starts next month, meaning it’s an ideal time to start reminding patients they’ll need flu shots (and that you’ll be happy to provide one). While the majority of children tend to get their shots toward the end of the season according to the Centers for Disease Control and Prevention, the distribution has been more evenly distributed for adults over the past few flu seasons, as seen in Figure 1, below. The …
Read More
2018 ICD-10-CM: A Preview of Urgent Care-Relevant Changes
It’s again time to review what has changed with the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) effective October 1, 2017 through September 30, 2018. There are 360 new, 142 deleted, and 226 revised diagnosis codes in the final update. We will review the changes most relevant to urgent care, but the examples shown here are not all-inclusive. You can find all updates in the Centers for Medicare and Medicaid Services (CMS) website …
Read More