Journal of Urgent Care Medicine

States Grapple with Their Own Regulatory Approach to Urgent Care

URGENT MESSAGE: Urgent care centers are subject to myriad oversight by individual states, accrediting bodies, Medicare/Medicaid, and private insurance companies. Still, the patchwork nature of state regulatory and legislative trends impacting urgent care in 2015 raises questions—and expectations—for what might be coming next year. Alan A. Ayers, MBA, MAcc is Practice Management Editor of The Journal of Urgent Care Medicine, a member of the Board of Directors of the Urgent Care Association, and Vice President …

Revenue Per Patient, Prescription Drug Management for MDM, Medicare and HCPCS J3301 Denials

Q. What is an acceptable income per patient visit for an urgent care clinic? A. The recent benchmarking survey completed by the Urgent Care Association (UCA) found that the average urgent care center collects $110 per patient. However, the “acceptable” net revenue per patient visit varies widely from center to center and state to state. It fluctuates based on many variables: Existing contracts from payors State (e.g., payors in California and Arizona typically have lower …

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