Data from the 2014 Urgent Care Chart Survey of 1,778,075 blinded patient visits to more than 800 different urgent care clinics, conducted by the Journal of Urgent Care Medicine, show that for almost half of visits (48.6%) to U.S. urgent care centers, the prescriptions written by health-care providers are for oral antibiotics. The next 4 classes of prescriptions written are as follows, in descending order by percentage of visits: corticosteroids (13.7%), narcotic analgesics (9.9%), cough …
Read MoreTwo-Thirds
JOHN SHUFELDT, MD, JD, MBA, FACEP Editor’s note: For almost 10 years, Dr. John Shufeldt has generously shared his talents as a writer, legal expert, and thought leader with JUCM readers as the contributing editor of our Health Law department. Although John is retiring as its regular contributor, he will always remain its award-winning founder. In future issues, the Health Law column will be expanded to include new contributors and cover a broader scope of …
Read MoreIntravenous Therapy
Q. We perform a lot of intravenous (IV) infusions in our urgent care facility. Sometimes we also perform IV pushes and hydration at the same time as the infusion. What is the correct way to code multiple IV infusions? Do we have to document start and stop times for each IV service? A. If an IV infusion and IV push are performed concurrently in the same IV site, you should only bill one “initial” code. …
Read MoreTop Types of Diagnosis Codes at U.S. Urgent Care Centers in 2014
Data from the 2014 Urgent Care Chart Survey of 1,778,075 blinded patient visits to more than 800 different urgent care clinics, conducted by the Journal of Urgent Care Medicine, show that the top types of diagnosis codes for visits included respiratory (52.9%), wound/trauma/fracture (34.9%), ear (9.2%), dermatologic (7.5%), and genitourinary (7.0%). The survey’s methodology and data abstraction forms were initially designed in 2008 by researcher Robin M. Weinick, PhD, then an assistant professor at Harvard …
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The Role of Urgent Care in an Integrated Care System: Insights from Intermountain Healthcare
Urgent message: This exclusive interview with Intermountain Medical Group Chief Executive Officer Linda Leckman, MD, illustrates how urgent care can improve access and clinical outcomes while reducing costs for patients in a system that integrates providers, hospitals, and health insurance using a shared electronic medical record and capitated payment. ALAN A. AYERS, MBA, MAcc, Experity Introduction In the evolving U.S. health-care system, individual providers, ancillary facilities, hospitals, and payors are joining together in connected systems …
Read MoreMedical Malpractice Trial, Part 3: The Trial
JOHN SHUFELDT, MD, JD, MBA, FACEP Recap of the Facts Johnny Dalton presented to the emergency department (ED) at St. Jacob’s Hospital after ingesting liquid methadone, a long-acting opioid. Responsive Emergency Medicine and Dr. Beth Ange evaluated and monitored Johnny for nearly 12 hours and discharged him home. Johnny was found dead by his family approximately 20 hours after discharge. Case name: John and Cathy Dalton v. Dr. Beth Ange and Responsive Emergency Medicine Decedent: …
Read MorePresenting Conditions Documented in Patient Charts at U.S. Urgent Care Centers in 2014
Data from the 2014 Urgent Care Chart Survey of 1,778,075 blinded patient visits to more than 800 different urgent care clinics, conducted by the Journal of Urgent Care Medicine, show that the top 3 conditions that patients reported at presentation were cough (10.9% of visits), sore throat (10.4% of visits), and pain of some kind (7.7% of visits). The survey’s methodology and data abstraction forms were initially designed in 2008 by researcher Robin M. Weinick, …
Read MoreRib Fractures, Joint Injections and Aspirations, Sports Physicals, and Tuberculosis Skin Tests
Q. What code do we use now to bill for closed treatment of a rib fracture? A. In 2015, Current Procedural Terminology (CPT) deleted codes 21800, “Closed treatment of rib fracture, uncomplicated, each,” and 21810, “Treatment of rib fracture requiring external fixation (flail chest),” because of lack of use. You are now to report closed treatment of an uncomplicated rib fracture using an appropriate evaluation and management (E/M) code. Q. We perform many joint injections …
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Six Elements of a Winning Patient Experience
Urgent message: Successful urgent care centers depend on repeat visits from loyal patients, but if patients do not like the experience provided, do not value it, or do not think it meets their needs, they will not come back. Cultivating a loyal following entails understanding and building a service offering around the factors that attract patients and keep them coming back. ALAN A. AYERS, MBA, MAcc, Experity Urgent care is differentiated from other medical practices …
Read MorePatient Age Breakout for the U.S. Urgent Care Market in 2014
Data from the 2014 Urgent Care Chart Survey of 1,778,075 blinded patient visits to more than 800 different urgent care clinics, conducted by the Journal of Urgent Care Medicine, show that the 2 largest age groups of patients using urgent care centers were 21 to 30 years (17.1%) and 31 to 40 years (15.9%); the smallest age group was 51 to 60 years (11.9%). The survey’s methodology and data abstraction forms were initially designed in …
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