DAVID STERN, MD (Practice Velocity) Q.Many procedures, such as injections and fracture care, are reported to patients as “surgery.” Patients sometimes accuse us of false billing, as they don’t consider these procedures to be a “surgery.” How can we fix this problem? A.All third-party payors have installed computer software programs that have code descriptions loaded for each CPT code. Many of these code descriptions are hard to understand, and sometimes they are not truly accurate. CPT …
Read MorePublic Speaking Skills Enhance Professional Standing and Proficiency
Whether you are a clinician or a sales professional—or both, as is often the case in the urgent care occupational medicine arena—it is likely that you will find yourself in front of an audience giving a talk at some point. The topic may be a clinical one or something intended to get the audience to employ your professional services; either way, proficiency as a public speaker will greatly improve your chance of making the most …
Read MoreInsulating Your Practice from Sexual Harassment Claims
JOHN SHUFELDT, MD, JD, MBA, FACEP Merriam-Webster’s Dictionary of Law describes sexual harassment as a form of employment discrimination consisting of unwelcome verbal or physical conduct directed at an employee because of his or her sex. Quid pro quo sexual harassment occurs when a condition of future or current employment is predicated upon fulfilling sexual demands. Finally, hostile environment sexual harassment occurs when the harassment has the effect of interfering with the victim’s work performance …
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Boosting Revenue by Working Harder—or Smarter?
Urgent message: With careful consideration and disciplined planning, ancillary services can add to your bottom line without significantly adding to your workload. Alan A. Ayers, MBA, MAcc Practice Velocity Could Charles Dickens’ discourse provide a better depiction of the urgent care business today? Unprecedented growth in recent years proves the value of a healthcare delivery model like urgent care, based on consumer needs for affordability and convenience. But urgent care is not immune from challenges …
Read MoreThe Physician’s Role in Occupational Health Sales and Marketing
When it comes to sales and marketing, the involvement of a physician can make or break an occupational health initiative. Physicians project credibility and can easily win the respect of employers and employees. In many cases, a sales effort can go “over the top” simply by bringing a physician into play. I know many physicians who exude charm and would be an asset in virtually any sales scenario. On the other hand, a physician who …
Read MoreIn Consideration of Binding Arbitration Agreements
JOHN SHUFELDT, MD, JD, MBA, FACEP Otter: Point of parliamentary procedure! Hoover: Don’t screw around, they’re serious this time! Otter: Take it easy, I’m pre-law. Boon: I thought you were pre-med. Otter: What’s the difference? Otter: Ladies and gentlemen, I’ll be brief. The issue here is not whether we broke a few rules, or took a few liberties with our female party guests—we did. In contrast to the dispute resolution procedure regarding the Delta house’s …
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Urgent Care Occupational Medicine Defined
A joint International Labor Organization/World Health Organization committee defines occupational health as the “promotion and maintenance of the highest degree of physical, mental, and social well-being of workers in all occupations.” This article will refine that definition as it applies to urgent care occupational medicine (UCOM) and explore the rationale for incorporating products and services of value to employers within an urgent care clinic. Scope of Practice Clinics that offer occupational medicine services are uniquely …
Read MoreDeveloping Data: January, 2008
As an emerging distinct practice environment, urgent care is in the early stages of building a data set specific to its norms and practices. In Developing Data, JUCM will offer results not only from UCA’s annual benchmarking surveys, but also from research conducted elsewhere to present an expansive view of the healthcare marketplace in which urgent care seeks to strengthen its presence. In this issue: How do the experiences of patients who sought treatment for …
Read MoreDeveloping Data: December, 2007
As an emerging distinct practice environment, urgent care is in the early stages of building a data set specific to its norms and practices. In Developing Data, JUCM will offer results not only from UCA’s annual benchmarking surveys, but also from research conducted elsewhere to present an expansive view of the healthcare mar- ketplace in which urgent care seeks to strengthen its presence. In this issue: How is patient satisfaction affected by the length of …
Read MoreFollow-up Questions Regarding Post – operative Care and ‘Established’ Patients
DAVID STERN, MD (Practice Velocity) Q.I was curious about your response to a case listed in Coding Q&A in the November issue of JUCM. The case described a patient who returned for reopening of a wound due to infection. The physician then cleansed and re-sutured the wound. Although I agree about the postoperative care in general, I wonder if modifier -79 would be appropriate in these circumstances. According to instructions by the AMA, this modifier …
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