In each issue on this page, we report on research from or relevant to the emerging urgent care marketplace. This month, we offer an analysis of how patient satisfaction is affected by time spent in the emergency room, and how current scores compare with research done two years prior. Though not reflective of patient experiences in the urgent care settings, these data can serve as a lesson on the importance of respecting the patient’s time …
Read MoreEmbracing a Culture of Constant Change
Coding by Time, for Emergent Care, and for Nurse Practitioner Visits
Q. How does one determine whether an E/M code can qualify for coding according to time spent? Obviously, any psychiatric counseling would fit the criteria, but what about “teaching” (e.g. how to use an inhaler, how to perform a breast exam), or preventive medicine counseling? – Question submitted by Dr. Kim, Med7 Urgent Care, CA A. The key issues on counting counseling or coordination of care toward the E/M code are: Counseling and/or coordination of …
Read MoreDeconstructing the Ten Commandments of Urgent Care Medicine
Since the holiday season was just upon us, I will take the opportunity to borrow heavily from the 1956 Cecil B. DeMille movie, The Ten Commandments. The movie portrays the life of Moses, from an infant floating down the Nile through his return to Egypt to lead the Hebrews across the Red Sea. For the next few paragraphs, think of me as the Moses of Urgent CareWorld, as I attempt to lead you to the …
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Building Urgent Care Referral Relationships: Pharmacies and Retail Host Clinics
Urgent message: Viewing other community healthcare providers (e.g., pharmacists) or even possible competitors (e.g., retail clinics) as referral sources can increase revenues and bolster the urgent care center’s place in the healthcare system. The first of two parts. Alan A. Ayers, MBA, MAcc Urgent Care has evolved to the point that it is a vital part of a community’s healthcare infrastructure, offering access when primary care appointments are unavailable and relief when emergency rooms are …
Read MoreReducing Pediatric Medical Legal Risk in Your Urgent Care Center
Using Fallback Options to Your Advantage
So Here’s What I’ve Learned…
John Shufeldt, MD, JD, MBA, FACEP I am always amazed by the myriad of personalities encountered on any given day in the urgent care center or emergency room, at the office, or even when simply out and about. Over the years, I’ve been fortunate to learn a few things from the thousands of patients I’ve treated and the remarkable individuals I’ve met along the way. How is it that some people with serious acute or …
Read MoreDeveloping Data: December, 2009
In each issue on this page, we report on research from or relevant to the emerging urgent care marketplace. And few things are more relevant to urgent care’s role in the greater healthcare marketplace than wait times in various settings. This may be especially true to the emergency department, as one of the more often heard take-home messages in urgent care promotion is shorter wait times versus a trip to the Ed. This begs the …
Read MoreSplint Applications by Staff, and Proper Use ofModifiers -25, -26, and -59
Q. At the UCA Fall Urgent Care conference, you welcomed all questions, so here goes: Can you please let me know if it is appropriate to charge for Ortho-Glass and fiberglass splints in the urgent care setting? In some cases, the splints are applied by a tech under the direct supervision of the physician. In other cases, can the charge for the application of the splint be coded in addition to the Q code? Question …
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