Journal of Urgent Care Medicine

To P.E. or not to P.E.

John Shufeldt, MD, JD, MBA, FACEP In last month’s column, I presented an overview of capital sources that can be used to fund your urgent care start-up or expansion. This month I will discuss the different sources of debt and equity capital. Much of the decision regarding which capital source is best for you is determined by your stage of development. For a startup, you will probably have to use traditional bank debt or raise …

Telephone Interpreting: Improving Healthcare Outcomes and the Bottom Line

Urgent message: Using interpreters in the urgent care setting can help you provide quality healthcare and save time and money. Bruce Merley Imagine that it is late Friday night and you and a nurse are the last remaining staff on duty at your urgent care center. A couple arrives and the woman appears to have several facial cuts and bruises. When you greet them, the man responds in a language you do not understand. You …

Technology in Urgent Care: Digital or Conventional Imaging?

Urgent message: More and more urgent care clinics are wrestling with whether to offer digital or conventional x-rays. In this article, Registered Technologist Trip Hale offers expert advice on how to make the decision. Trip Hale, RT, (R) Introduction For today’s urgent care clinics, imaging is an internal part of providing complete diagnostic and treatment services. Because reimbursement for diagnostic studies is lower for physician-owned than for hospital or outpatient imaging facilities, a well-planned and …

Developing Data: January, 2012

These data from the 2010 Urgent Care Benchmarking Survey are based on responses of 1,691 US urgent care centers; 32% were UCA members. The survey was limited to “full-fledged urgent care centers” accepting walk-ins during all hours of operation; having a licensed provider and x-ray and lab equipment onsite; the ability to administer IV fluids and perform minor procedures; and having minimal business hours of seven days per week, four hours per day. In this …

Overview of Urgent Care Financing

JOHN SHUFELDT, MD, JD, MBA, FACEP You’ve researched the industry, have a site picked out, and have a name reserved. Now comes the million dollar question. Wait, that is the question: Where do I get a million dollars to start an urgent care? Do you really need a million? My noncommittal “attorney answer” is: “possibly.” I have had friends lose a lot more than that before being forced to close the doors. That said, you …

Motivate Your Front-Line Staff With Enlightened Leadership

Urgent message: Registration specialists, medical assistants, and techs may be your lowest-paid employees, but the success of your urgent care is in their hands—and their success is in yours. ALAN A. AYERS, MBA, MAcc, Experity Urgent care is a service business whose long-term viability depends on patient loyalty and word of mouth. That’s why urgent care entrepreneurs spend tens of thousands of dollars in selecting the right locations, equipping them with the latest technology, and …

Developing Data: December, 2011

Modifier for 69210, HCPCS for IM Zofran, S9088 vs 99051, and Billed Amount for 99051

Q.What modifier can I use for CPT Code 69210 (removal impacted cerumen, [separate procedure], one or both ears) for Medicare? I used left and right, but the claim was denied as an incorrect modifier. A.Because the definition of the code includes either or both ear(s), you should not attach a modifier to indicate the right (-R), left (-L), or bilateral (50) ear(s). Q.My physicians like to give Zofran injectable intramuscular; we generally don’t give it …

Potential Pitfalls While Finding the Needle in the Haystack

JOHN SHUFELDT, MD, JD, MBA, FACEP It’s nearly midnight on Saturday and I am between patients in an ED on an unseasonably cold November evening in Phoenix, Arizona. Among the head bleeds, overdoses, MI’s, and strokes, I have had these chief complaints thrown at me: “Smoke inhalation after blowing out a candle” “I can’t stop playing with my number one.” “I’m here for my 40-year-old physical.” (The patient was 43.) “I fell asleep at a …

An Urgent Care Lab as a Profit Center?

Urgent message: An onsite lab can generate significant revenue for your practice. Lab expert Tim Dumas shows how. TIM DUMAS, MLT,CLS Introduction I have been a lab tech for almost 35 years and serve as advisor to 45 physician office labs around the country. I have seen many changes in that time, most for the better. Thirty—even 20—years ago, a stat CBC with differential was a 15-minute-procedure and required a skilled lab tech to get …